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Added: 4/18/2021
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Age
Do you regularly attend Christ Chapel?
Yes
No
If so, which campus do you frequent?
Fort Worth Campus
West Campus
South Campus
Internet Campus
College
Which service do you usually attend?
What is your current involvement?
Have you attended any Soul Care classes or groups before?
Yes
No
If so, which one(s)?
If not a CCBC regular attender, do you attend another church regularly?
Yes
No
If so, which one?
Briefly describe your spiritual journey up to this point.
Thrive is designed to help you experience Christ-centered change where you feel stuck or broken. What specifically are you currently struggling with? Identify the hardships, trials, anxieties, frustrations, lusts, discouragements, and conflict that trouble you are the present time.
Please check 1-3 of the most prominent (and current) issues in your life:
Grief/Loss
Marriage/Divorce issues
Shame/Guilt
Fear/Anxiety
Depression
Overly concerned about other's opinions
Disappointment
Emotional struggles/Thought Life
Inability to Forgive Self/Past Decisions/Mistakes
Past Abuse
Anger/Resentment
Addiction/Stronghold
Bitterness/Past Hurts
Unforgiveness
Sexual Sin/Brokenness
Feeling Stagnant or Disconnected in Faith
Isolated/Loneliness
Other
If Other, please list:
Please list other avenues of help / remedies / things that you have tried prior to seeking help from Soul Care/ Thrive to resolve this issue (if any):
The effectiveness of this program requires you to share openly and vulnerably with people you do not know well yet.
Does your current community know that you are seeking help for these particular struggles in your life?
Yes
No
If Yes, in whom have you confided?
How ready are you to be involved in this type of process?
1 Not Ready
2
3
4
5
6
7
8
9
10 Ready
Thrive Groups meet for 14 weeks during the semester on Thursdays evenings from 6:30 pm- 8:15 pm.
Weekly Group Meeting Preference:
In person at Christ Chapel Fort Worth Campus
Virtual Meeting (if there is enough interest)
Note: We are considering having a daytime group this spring,
Please check this box if you would prefer an IN PERSON group on Thursdays during the day
Childcare for up to age 10-11/or 4th grade is generally available for Thrive Groups meeting in person on Thursdays evenings from 6:30 pm- 8:15 pm – when a reservation is made in advance of the semester.
I will need childcare for Thrive
Yes
No
If so, what are the ages of the children needing care?
0-2
3-5
6-8
9-10
You will meet with a Mentor every week for 1-2 hours for 14 weeks during the Thrive semester. This meeting time is generally set in your first meeting with your mentor.
Weekly Mentor Meeting Preference:
in-person at Christ Chapel or Other Offsite Location (such as a home or coffee shop)
Virtual Meeting (Zoom or Facetime)
Do you already have a mentor in your life who would be willing to walk alongside you during the Thrive process? If so, please list their name, email, and phone number.
Mentor Name
Mentor Email
Mentor Phone
If you will need our assistance to be placed with a Christ Chapel Soul Care mentor,
Please check the general days and times you are available to meet every week.
Mon - Fri Daytime
Mon - Fri After 5 PM
Weekends
Please list any exceptions to the above choices.
What do you hope to learn or experience as you go through Thrive?
What are you biggest concerns about being part of this group?
How did you hear about Thrive?
I have reviewed the Thrive expectations (please check each below):
30-45 minutes in the Word 6 days per week.
1-2 hour meeting with my mentor every week.
2 hours meeting with my assigned group every week.
No more than one absence per semester.
Commitment to share vulnerably in a safe group setting
I am eager to make the commitment to Thrive for the upcoming semester.
Anything else you would like us to know?
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