SOZO APPLICATION FORM - North Palm Church

SOZO Application

Date:

Name:

Email Address:

Mailing Address:

Phone Number:

Gender:

Age:

Church Attending:

Have you received ministry from North Palm’s SOZO Team in the past?

Approximate Date:

Have you ever attended a North Palm:

Encounter

School of Discipleship

Discovery Session

Please check all that apply.

Who referred you to SOZO?

Why would you like to receive a SOZO?

Please check any of the following that previously and currently apply to you.

Anxiety

Physically Abusive

Depression

Violent

Sexual Promiscuity

Criminal Record