Get Started - Blessing Ranch Ministries

Step 1 of 26

Name*

First Last

Email*

Phone*

Where are you located?*

What is the nature of your inquiry?*

General Information

Counseling Service

Coaching Service

Are you involved in ministry?*

Yes

Church/organization name*

City*

State*

Country*

Your Position*

Lead/Executive Pastor or Director

Assistant Pastor or Director

Team Leader

Supporting Role

Other

What is your current occupation/position?*

Which services and resources would you like more information on?*

Intensive Counseling

Intensive Coaching

Individual Coaching

Group Coaching

Retreat

Staff Experience

House Call

Restoration Team

Books & Other Resources

Something else

Please give a little more detail about why you selected the area(s) above:*

Who is in need of the counseling service?*

I'm inquiring for myself.

I'm inquiring for someone else.

What is your ministry involvement?*

Currently employed in ministry

Previously employed in ministry but not currently

Never employed in ministry

What church or organization do you work for?*

What position do you currently hold?*

What ministry or organization(s) did you previously work for?*

What was your previous position there?*

What dates did you work there?*

What is your current occupation/position?*

What is their ministry involvement?*

Currently employed in ministry

Previously employed in ministry but not currently

Never employed in ministry

What church or organization do they work for?*

What position do they currently hold?*

What ministry or organization(s) did the person previously work for?*

What was their previous position there?*

What dates did they work there?*

What is their current occupation/position?*

What is the need you are hoping to address through Intensive Counseling?*

Marriage

Relationships

Past Trauma

Church Hurt

Church Transition

Emotional Struggle

Sin Struggle

Burnout

Spiritual Growth

Next Steps in Leadership

Please give a little more detail about why you selected the area(s) above:*

Who is in need of the coaching service?*

I'm inquiring for myself.

I'm inquiring for someone else.

What is your ministry involvement?*

Currently employed in ministry

Previously employed in ministry but not currently

Never employed in ministry

What church or organization do you work for?*

What position do you currently hold?*

What ministry or organization(s) did you previously work for?*

What was your previous position there?*

What dates did you work there?*

What is your current occupation/position?*

What is their ministry involvement?*

Currently employed in ministry

Previously employed in ministry but not currently

Never employed in ministry

What church or organization do they work for?*

What position do they currently hold?*

What ministry or organization(s) did the person previously work for?*

What was their previous position there?*

What dates did they work there?*

What is their current occupation/position?*

Coaching service you are interested in:*

Intensive Coaching

Individual Coaching

Group Coaching

Restoration Team

Do you prefer to meet with a male or female Professional Coach?*

Male

Female

Doesn't matter

What needs are you hoping to address through coaching services?*

Marriage

Relationships

Past Trauma

Church Hurt

Church Transition

Emotional Struggle

Sin Struggle

Burnout

Spiritual Growth

Next Steps in Leadership

Please give a little more detail about why you selected the area(s) above:

Disclosure Statement for Services*

I have read and understand the disclosure statement.

Blessing Ranch Ministries is not equipped with necessary precautionary safety measures for those with active suicidal thoughts, tendencies, or actions, or any measure of self-harm. Participants in our services must not be an active physical threat to themselves or someone else.

If you are in an emergency situation or are an imminent physical threat to yourself or someone else, please contact 911 or go to your local Emergency Room immediately.

Blessing Ranch Ministries is not a treatment facility for substance abuse or recovery. Participants must be free of substance abuse for thirty days prior to services to have the clear mind needed for benefit.

If you need assistance in finding the right treatment option for yourself or someone in one of these situations, please call us at (970) 495-0920 for referrals.

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