Sozo Application Form

Please be informed that this form, when submitted, is sent directly to Carolyn McHenry who is a member of the Sozo team. The information on this form is only shared with the ministry team directly involved with your Sozo session. Sozo sessions are available for anyone, whether you attend ASCC, another church, or none at all - you are welcome.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Age

Gender

What church do you currently attend?

Are you apart of a small/home group with your church?

Have you ever had a Sozo before?

Yes

If yes, then with whom?

Purpose of previous Sozo?

Approximate Date?

Who referred you to our Sozo ministry?

Are you under a doctor's care or on medication?

If yes, what is the reason?

Do you have any questions or concerns you would like addressed before you receive a Sozo?

Please note: All Saints Community Church is a mandatory reporting organization. If at any time we become aware of elderly or child abuse, we are legally obligated to contact the appropriate authorities.

For the value of the time spent ministering to you, there is a suggested donation of $75.00. However, we do not turn anyone away for an inability to donate.

Sozo Application Form

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