Request For Services

Request For Services

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Step 1 of 37

Service Request Contact Information

Please note that we provide services to those who are members of our church. (Regular attenders and active participants in the church)

Name*

First Last

Preferred Method of Contact?*

What’s the best way to get in touch with you?

Phone: Text

Phone: Call

Email*

Number to Text*

Number to Call*

What are you requesting?*

Request to Dedicate a Baby/Child

Request to be Baptized

Request for Benevolence (Financial Assistance)

Request for CD Copies of Services

Request for Counseling

Request for a Hospital Visit

Request for Meal Assistance

Request for Prayer

Request for Special Event (Use of Facilities)

Request for a Donation Receipt

Request for CCF Ministry Event

Baby Dedication Ceremony Information

To request to have your child dedicated in the service.

Date you would like to have dedication?*

MM slash DD slash YYYY

Service you would like to have dedication?*

Dedications take place during the morning announcements. The officiator will call you up on stage.

1st Service – 9:00am

2nd Service – 11:00am

Who would you like to officiate?*

Who will be coming up on stage? And their relationship to child?*

Anyone you want recognized from the audience? And their relationship to child?

Dedication Certificate Information

Please enter information as you want it to appear on the certfiicate.

Number of Children to be Dedicated?*

1 Child

2 Children

3 Children

4 Children

5 Children

Name of 1st Child*

Gender of 1st Child*

Girl

Boy

Date of Birth of 1st Child*

MM slash DD slash YYYY

Name of 2nd Child*

Gender of 2nd Child*

Girl

Boy

Date of Birth of 2nd Child*

MM slash DD slash YYYY

Name of 3rd Child*

Gender of 3rd Child*

Girl

Boy

Date of Birth of 3rd Child*

MM slash DD slash YYYY

Name of 4th Child*

Gender of 4th Child*

Girl

Boy

Date of Birth of 4th Child*

MM slash DD slash YYYY

Name of 5th Child*

Gender of 5th Child*

Girl

Boy

Date of Birth of 5th Child*

MM slash DD slash YYYY

Name(s) and Relationship of Dedicator(s) you want on Certificate?*

Request to Be Baptized

Bring a change of clothes and a towel.

How many are wanting to be baptized?*

Just me

One More

Two More

Three More

Four More

Do you want a printed Baptism Certificate?*

Yes

Name as you want it to appear on your Certificate?*

Does +1 want a printed Baptism Certificate?*

Yes

Name as +1 wants it to appear on their Certificate?*

Does +2 want a printed Baptism Certificate?*

Yes

Name as +2 wants it to appear on their Certificate?*

Does +3 want a printed Baptism Certificate?*

Yes

Name as +3 wants it to appear on their Certificate?*

Does +4 want a printed Baptism Certificate?*

Yes

Name as +4 wants it to appear on their Certificate?*

Request for Financial Assistance

Read Our Policies?

Biblical Basis For Our Policies

Criteria For Receiving Benevolence

Biblical Basis For Our Policies

There are individual responsibilities to help the needy, and then there are Church responsibilities in helping the poor and needy. In this policy we are discussing the Church's responsibility.

Our Benevolence Policy at CCF is based on the teachings found in the Bible

1st Timothy 5:3-16

[3] Honor widows who are really widows. [4] But if any widow has children or grandchildren, let them first learn to show piety at home and to repay their parents; for this is good and acceptable before God [5] Now she who is really a widow, and left alone, trusts in God and continues in supplications and prayers night and day. [6] But she who lives in pleasure is dead while she lives. [7] And these things command, that they may be blameless. [8] But if anyone does not provide for his own, and especially for those of his household, he has denied the faith and is worse than an unbeliever. [9] Do not let a widow under sixty years old be taken into the number, and not unless she has been the wife of one man, [10] well reported for good works: if she has brought up children, if she has lodged strangers, if she has washed the saints’ feet, if she has relieved the afflicted, if she has diligently followed every good work. [11] But refuse the younger widows; for when they have begun to grow wanton against Christ, they desire to marry, [12] having condemnation because they have cast off their first faith. [13] And besides they learn to be idle, wandering about from house to house, and not only idle but also gossips and busybodies, saying things which they ought not. [14] Therefore I desire that the younger widows marry, bear children, manage the house, give no opportunity to the adversary to speak reproachfully. [15] For some have already turned aside after Satan. [16] If any believing man or woman has widows, let them relieve them, and do not let the church be burdened, that it may relieve those who are really widows.

1) The Church is not to assist everyone financially.

2) The Church is to help widows (those that are alone) that have no one else that can help.

3) Younger widows are able to remarry instead of having the Church support them.

4) Younger people are to use their family as the first source of help.

5) Those seeking benevolence must do everything to reconcile with family before receiving any financial help from the Church.

6) This passage also teaches us that those eligible are to be serving in the body of Christ.

7) This passage states that the Church should be the last and final resort. The Church should not be burdened, only if all other avenues have been exhausted.

2nd Thessalonians 3:10-11

[10] If anyone will not work, neither shall he eat. [11] For we hear that there are some who walk among you in a disorderly manner, not working at all, but are busybodies.

In light of this passage (those that are not widows and alone), we will need to know if you have been working or moving in the proper direction of finding work to be eligible for benevolence from CCF.

In light of the passages mentioned in the "Basis For Our Policies", we have arrived at the following criteria to receive benevolence from CCF.

Benevolence request take two full weeks to be processed.

1) The person or family must be a regular attendee and giver in this fellowship.

2) You must have attended CCF for six months to receive benevolence.

3) Circumstances that may qualify a person or family for benevolence include: loss of job due to illness or layoff, inability to provide basic needs (caused by excessive debt or an irregular income).

4) Prior to receiving assistance, the person or family must discuss their financial situation with a counselor in the fellowship to determine their need and receive and apply instruction in family budgeting as neccesary.

5) Repayment of the benevolence is encouraged so others in need may be helped.

6) A person or family asking for benevolence must already have pursued other avenues of financial remedy. i.e. bank or other financial institutions, as well as their extended family. If they are receiving assistance from others in the fellowship individually, benevolence will be denied.

7) The standard policy is to give benevolence on a one time basis. However, extenuating circumstances will be prayerfully considered.

8) Under no circumstances are you to ask those attending CCF for money. You will be warned and then potentially asked to leave the fellowship.

Please indicate that you have read and understand our benevolence policies.*

Yes

What can you expect?

To help those working through financial difficulties, we require all those eligible for benevolence to meet with a Biblical Financial Counselor for accountability and discipleship, working through Biblically based workbooks or other materials.

Are you open to meeting with a Biblical Financial Counselor?*

You must be open to disclose all bills and financial information to your counselor. Any dishonesty will result in being ineligible for benevolence.

Yes

Family Questions:

Have you visited with your family on your financial needs?*

Yes

Who can we call in your family to discuss your situation?*

First Last

Relationship?*

Phone for Contact*

Financial Institution Questions:

The Church is not a bank for short term or long term loans. Those seeking payment for rent, mortgage or miscellaneous bills, need to make arrangements with their financial institutions. If they are unable to do so, they are required to explain why to the Benevolence Counselor. The counselor will determine if the Biblical criteria for Church help is met.

Have you met with your local financial institution?*

Yes

Give a brief description of how that went.*

What Financial Institution did you talk to?*

Who did you talk to?*

First Last

Scheduling Information:

We ask that all potential benevolence recipients meet with a Pastor. Based on this meeting it might be recommended or required for you to continue a bi-weekly or weekly meeting with the Pastor for Biblical instruction.

What days are you available to meet?*

Times will be dictated by the availability of the pastor/financial counselor. Note that Monday is the staff day off.

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Tuesday available times?*

Wednesday available times?*

Thursday available times?*

Friday available times?*

Saturday available times?*

Sunday available times?*

Additional availability information?

CD Request

What are you requesting a copy of?*

One Service

Add me to mailing list for Sunday messages only

Add me to mailing list for Wednesday messages only

Add me to mailing list for Sunday and Wednesday messages

What is the date of the service you would like a copy of?*

MM slash DD slash YYYY

How would you like to get it?*

Pick it up

Have it mailed

Address you'd like sent to:*

Street Address City State ZIP Code

Counseling Request

The Fact Sheet About Biblical Counseling For You

These are the facts about Biblical Counseling that is offered through Calvary Christian Fellowship. This information will help you to understand what you can expect, what to expect and not to expect and also what will be necessary from you.

1. Biblical counseling is a ministry of our church. As such, those who receive counseling need to be regular attenders and supporters of the church ministry. All counselors are under the supervision of church leaders. Our counseling ministry is not a business nor is it a profit-oriented activity.

2. Counseling from the Bible can address a wide range of problems, including: pride, lust, anger, worry, fear, depression, anxiety, alcohol and drug abuse, marriage issues, parent-child relationships and problems that result in personal and interpersonal tension, turmoil and distress.

3. The Biblical counselors are trained in the use of the Scriptures and the principles and practices of Biblical Counseling. They are committed to the belief that the Scriptures provide the only authoritative rule of faith and standard of conduct for living. They do not base their counseling knowledge on their own opinions, experience, or concepts of behavior. They are not trained psychotherapists or licensed professional counselors, nor do they practice psychological therapy.

4. Confidentiality is respected. What occurs during counseling may be discussed with other counselors or the leadership of the church, but only to the degree necessary to find further Biblical solutions to the problems presented and/or for training purposes. All such consultation will be conducted in accord with the highest standards of Biblical ethics.

5. Biblical counselors believe in your total health needs. Your counselor may recommend that you have a full or specified medical examination.

6. Your counselor will use all of their ability, relying on the Holy Spirit of God in applying Biblical principles to help you in whatever problem deprives you of the peace and joy that God promises in His Word. Your counselor will concentrate on three basic principles from God's word:

A: Hope – We have hope in Jesus Christ, our great High Priest who was tempted in all things, yet without sin. Even though every sin common to man may be tempting you, God has promised that He will not allow you to be tempted beyond what you can bear, but will provide for you a way of escape so that you will be able to endure it. — I Corinthians 10:13, Hebrews 4:14-16

B: Change – In Christ we can learn how to lay aside the old selfish ways of living and put on the new ways of living in a manner worthy of the Lord, to please Him in all respects, bearing fruit in every good work and increasing in the knowledge of God. — Ephesians 4:20-24, Colossians 1:10

C: Homework – We need to prove ourselves, lest we be merely hearers of the Word, forgetting and deluding ourselves. For only in becoming effectual doers of the Word shall we be blessed in what we do. — James 1:22-25

7. Normally, counseling sessions will last about one to one-and-a-half hours each week, and may continue for eight to ten weeks. If you respond more quickly to Biblical admonition, the counseling sessions may last no more than four or five weeks. However, if the counselor does not observe definite change in the first few weeks, he or she will seek to identify the cause of this lack of change, discuss it with you, and help you to correct it.

8. Appointments are to be made with the counselors directly or with the church secretary. Your counselor will be your contact person for any questions or matters requiring immediate or emergency help between sessions. Most questions or matters should be written down and brought to the next counseling session for further discussion. If you are unable to come to a counseling session, please notify your counselor or the secretary at least 24 hours in advance of the session whenever possible.

9. We don't allow for switching of counselors. Once you've started with someone, they will be your main counselor for the duration of your sessions and any future sessions. We also find it prudent to have men counsel men and women counsel women. For women, we allow for one meeting with one of the pastoral staff, after which you will be recommended to one of our female staff members.

10. You will need to bring with you to each session: your Bible, your notebook, an open heart and mind and any questions that have come into your mind since the last session. It is beneficial to write your questions down so that they will not be forgotten. Come with high expectations in the Lord Jesus to work in your life. You will find hope and encouragement even on your first visit, if you are open to it. From then on, with your cooperation, we believe you will find a good and acceptable answer to the difficulty that prompted you to contact us.

I have read and understand this Fact Sheet for Biblical Counseling and agree to it's terms and limits.*

Yes

Counselee Information:

Number of People Requesting Counseling*

Family or Group

Are you requesting counseling for yourself?*

Yes

Name of person to counsel:*

First Last

Their relationship to you?*

Name of other person to counsel:*

First Last

Their relationship to you?*

Please list names and relationships of those to counsel:*

What kind of counseling are you looking for?*

Anything else we should know about?

Basic Information:

Do you attend Calvary Christian Fellowship?*

Yes

How long have you attended here?*

Do you attend another church?*

Yes

Which church do you attend?*

How did you hear about us?*

Scheduling Information:

What days are you available for counseling?*

Times will be dictated by the availability of the counselor.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Monday available times?*

Tuesday available times?*

Wednesday available times?*

Thursday available times?*

Friday available times?*

Saturday available times?*

Sunday available times?*

Any additional availability information?

Hospital Visit Request:

To request a visit to the hospital from one of our pastoral staff.

Name of person to visit*

First Last

Name of Hospital*

Room #*

Why are they in the hospital? What is their current condition?*

Are they a regular attender here? Any additional info about the person.*

Are you requesting someone specific to visit?

We try our best to accommodate, but not always possible.

Meal Assistance Request

Use this form if you will be going through special circumstances and are in need of meals to be provided.

What are the circumstances that are causing you to ask for assistance?*

Duration which you will need assistance?*

Dates for start and finish and how often you would like to receive meals.

Address to take meals to:*

Street Address City State ZIP Code

Any dietary restrictions or preferences?

Prayer Request

Use this form to leave a prayer request for our Prayer Team. Note: prayer requests will remain on the list for a month. Submit updates to retain on the list.

Name of person to pray for?

First Last

Anonymous Options:

Names help us to make sure a request is valid, but you can choose for you or the person to remain anonymous and we won’t release that information.

Keep my name anonymous

Keep the person’s name anonymous

Prayer Request*

Special Event Request

Fill out the form as best as you can. If there are unknown parts just enter “?” and we can follow up later.

General Event Information:

We have a general policy of not renting facilities out to non-members, as we have had issues of damage. But you can request for an exception.

What Type of Event?*

Wedding

Memorial

Other

Location of Event?*

On Campus

Off Campus

Date of the Event?*

We will verify with you that the date is open for use.

MM slash DD slash YYYY

Day of the Week?*

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Time Event Starts?*

Hours

Minutes

AM/PM

Time Event Ends?*

Hours

Minutes

AM/PM

Additional Information for Weddings:

Premarital Counseling Status:*

If a wedding is done here by one of our pastors, the couple must go through premarital counseling. This is considered a minimum requirement to fulfill our responsibility before God in marrying people.

Have had Counseling

Need Counseling

Have a question about Counseling

With whom have you had counseling? Please include contact info.*

When are you available for counseling?*

What is your question about counseling?*

Bride's Name*

First Last

Bride's Phone or Email*

Groom's Name*

First Last

Groom's Phone or Email*

Rehearsal Date?

We will verify with you that the date is open for use.

MM slash DD slash YYYY

Rehearsal Starts?

Hours

Minutes

AM/PM

Rehearsal Ends?

Hours

Minutes

AM/PM

Wedding Style?*

Formal (Tux)

Semi Formal (Slacks & Tie)

Informal (Dockers)

Casual (Jeans)

Any Additional Wedding Details or Questions?

Additional Information for Memorials:

We understand that these are not generally planned events, so we will word very hard to accommodate with dates and pastors.

Name of Person who Passed?*

First Last

Contact's Relationship to Person who Passed?*

Date that Person Passed?*

MM slash DD slash YYYY

Additional Information for Other Events:

These events will have to be approved. Please submit the form and we will get back to you about the date and whether we feel we are able to accommodate this type or size of event.

Type of Event?*

Please describe event and any necessary details?*

Facility Use Information:

Number of People Expected at Event?*

Rental Fee Information:

We don’t generally charge fees for members of the church. (Those who are regular attenders and active in the church) If we agree to rent to non-member the fees are as follows: Worship Center $200; Fellowship Hall $100; Honorariums for Pastor/Music/Technicians $100 each; Slideshow Creation $150.

Church Facilities You Will Be Using?*

Worship Center, Bldg A

Fellowship Hall, Bldg A

Kitchen, Bldg A

Children’s Chapel, Bldg B

Student Room, Bldg C

Other

Other Facilities You Will Be Using?*

Worship Center Use Information:

Will you be running a slide show?*

Yes

Name and Contact of who is creating?*

Do you need Event to be Live Streamed?*

Yes

Will there be Music?*

Yes

Type of Music?*

Recorded

Live

Name and Contact of performer?*

Do you need a Video Copy of Event?*

Yes

Format?*

Computer File

DVD

How Many?*

Email you want Video sent to?*

Fellowship Hall Use Information:

Additional supplies needed?

Kitchen Use Information:

All equipment needs to be cleaned and returned to it’s original location.

What equipment will you be using?*

Children's Chapel Use Information:

Please return everything to how you found it.

What equipment will you be using?*

Student Room Use Information:

Please return everything to how you found it.

What equipment will you be using?*

Other Room Use Information:

Please return everything to how you found it.

What facilities will you be using?*

What equipment will you be using?*

Clean Up Responsibilities:

Wipe all tables and put all chairs and tables back the way they were (helpful to take a before picture); empty/replace all trash bags; sweep/mop floors; replace any decorations the way they were.

IF YOU USED OUR LINENS THEY NEED TO BE TAKEN AWAY AND BROUGHT BACK CLEAN.

NO FOOD IS TO BE LEFT ON THE PREMISES. Please check the refrigerators if you used them to store food.

BATHROOMS: sweep/mop floors; empty/replace trash bags; clean sinks, toilets and mirrors; restock toilet paper and paper towels, if needed.

THERMOSTATS: should be left with FAN on AUTO; in summer should be set to 81 COOL; in winter should be set to 60 HEAT.

Please designate that you have read, understood and agree to the above cleaning instructions.*

Yes

Do you need a Pastor to Officiate?*

Yes

Do you have a Pastor preference?*

Do you need Musician(s)?*

Yes

Do you need to Set Up Before Event?*

Yes

What are your arrangements for open/close of facility?*

What are your arrangements for clean up?*

Off Site Information:

Name of Offsite Location:*

Nearest Cross Streets of Offsite Location:*

Address of Offsite Location:*

Street Address City State ZIP Code

Any Additional Info or Details?

Year End Donation Receipt Request

Please note that receipts will be sent out starting Feb 1st to allow us to close out our books. They will go out in the order that requests were received.

Please list all names that you gave under*

Current Address*

Street Address City State ZIP Code

Main Phone for contact if we have questions*

What kind of phone is this?*

Cell Phone

Land Line

Whose phone is this?*

Alternate Phone #?

Optional

What kind of phone is alternate #?

Cell Phone

Land Line

Whose phone is alternate #?

How would you like to receive your receipt?*

Pick up here at church

Fax

Verbal

Mail

We will call the main number when your receipt is ready to be picked up and arrange for where it will be.

We will send to email listed above or provided below when it is completed.

Please provide email address if not already given.

Please provide fax number to be sent to:*

We will call the main number and give you the amount of your donations.

We will mail to the current address provided.

Use This Form If You Are Submitting a Request For CCF Ministry Events

Fill out form as best as you can. The more info you have the better. Changes later are confusing. We don’t advertise till we have all the info.

General Event Information Section:

Name of Event*

We need to know what you want to call the event.

Type of Event*

What kind of event is this?

Start Date:*

Date of Event or Start of First Day

MM slash DD slash YYYY

End Date:

Date Event ends or Leave Blank if Single Day Event

MM slash DD slash YYYY

Day(s) of the Week Event Will Be Held:*

Check all days involved

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Frequency of Event:*

Will it be one time, weekly, monthly, etc?

Event Start Time:*

What time do you want to start?

Hours

Minutes

AM/PM

Event End Time:*

What time do you want to end?

Hours

Minutes

AM/PM

Contact Person

Who should we call with questions?

Someone Else

Event Contact Person:*

First Last

Preferred Method of Contact:*

What’s the best way to get in touch with this person?

Phone: Text

Phone: Call

Email*

Number to Text*

Number to Call*

Ministry*

Which ministry is this event for?

Overseer*

Who is the church overseer of this ministry?

Location*

Where will the event take place?

On Campus

Off Campus

Do You Want This Event Publicized?*

Shall we advertise to the church body?

Yes

On Campus Facility Information Section:

Expected Attendance:*

How many people do you think will be attending this event?

Facilities Requested*

What areas of the church will you be needing?

Worship Center, Bldg A

Fellowship Hall, Bldg A

Kitchen, Bldg A

Children’s Chapel, Bldg B

Student Room, Bldg C

Other

Additional Needs*

Which of these will you be needing?

A Pastor

Technician

Musician

Need to Set Up Before Event

Need a Key For Entry/Close

None of the Above

Which Facilities Will You Be Using?

Pastor Preference*

Do you have a preference for a pastor?

Musician Preference*

Do you have a preference for a musician?

Set up Info*

When are you wanting to setup?

Entry/Close Key?*

When are you available to get key?

Open/Close Arrangements*

What are your arrangements for opening and closing the facility?

Cleanup Arrangements*

What are your arrangements for cleaning the facility?

Additional Info

Do you have any additional needs, concerns or questions about the facilities?

Off Campus Information Section:

Facility Name*

Name of offsite facility?

Cross Streets*

What are the nearest cross streets?

Address*

Address of the facility?

Street Address City State ZIP Code

Additional Info

Any additional instructions or details?

Publicizing Information Section:

Graphic Info*

Do you have a graphic for us to use?

Yes, I have a link

Yes, I’ll email it to you

No, I need you to create one

What is the link?*

How to Publish*

Where do you want us to include this event?

On Church Calendar

On Slides

In Bulletin Blast

Publishing Information

What do you want us to say about this event?

Form Type*

Do you need us to create any of these?

Question Form (want people to be able to ask questions)

Information Form (want to present information only)

What information do you want to ask for on the sign up sheets? (ie: name, contact info, questions, etc)

Additional Information

Any additional information we should know about?

Any additional Comments or Questions?

This field is for validation purposes and should be left unchanged.