Application for Premarital Biblical Counselling

We believe that God has provided a generous wealth of information in His Word about how to live. Fill out this application to get started with pre-marital counseling.
Please take the next 30 minutes or so to complete this inventory.

 

By completing this, it gives your counselor good preliminary information in order to get a “running start” in the early sessions.

 

We offer this counseling with the fundamental belief that the Bible is completely sufficient to meet all of life’s most difficult circumstances. Thus, our counseling keeps the Bible at the forefront of everything we teach and counsel.

 

Although our counseling is free, we have four primary requirements for counseling. If you can agree to these, please complete the form below.

 

1. You must be teachable

2. You must be honest

3. You must do your homework

4. If able, you must attend Neighborhood Church Ocala during the time you are being counseled (it is not a requirement to give or serve)


If you have any questions you can text us or leave a voicemail at 352-236-2211. We will return a call or text as soon as possible.
Personal Information
 
 
 
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Relationship Diagnostic
Please share the following information about your relationship as is appropriate.
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Please answer the following questions as they relate to your current fiance(e).
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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Family History
Please give us some background on what your family was like growing up.
 
 
 
 
 
 
 
 
 
 
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Religious Information
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Consent to Counsel

Neighborhood Church Ocala


6474 NE 7th Street


Ocala, Florida 34470


 


Goals of Counseling:


Our goal in providing biblical counseling is to help you meet the challenges of life in a way that will please and honor the Lord Jesus Christ and allow you to fully enjoy His love for you and His plans for your life.


 


We trust the Bible:


We believe that the Bible provides sufficient guidance and instruction for faith and life. Therefore, our counseling is based on Biblical principles rather than those of psychology or psychiatry. Neither the pastoral, nor the lay counselors of this ministry are licensed as psychotherapists or mental health professionals and may or may not have degrees or certifications. All our counselors are under the authority of the elders of Neighborhood Church.


 


Professional Advice:


In the process of biblical counseling there are often times when there is a need for significant advice with regards to legal, medical, financial or other technical areas. In those cases you will be encouraged to seek independent professional counsel. Our pastoral and lay counselors will be happy to cooperate with such advisors and help you consider their counsel in the light of relevant Biblical principles. Some of our lay counselors may be lawyers, doctors or other professionals, but the counselee understands and agrees that such counselors are not providing advice in those areas during the counseling process.


 


Fees and Resources:


Because we seek to hold God’s gifts with open hands, we want to bless our neighbors by providing these counseling services at no cost. Since the counselors volunteer their time, we can offer the counseling free of charge with the following provisions. 


In order to provide good, helpful resources, we ask, if you are able, to pay for the reading materials you will need (usually around $15/resource). 


Out of respect for our staff we require a $25 deposit that will be refunded to you should you keep all your appointments or cancel at least 24 hours in advance of your appointment. When you arrive for your first counseling session you will be required to submit this deposit in cash. If you should ever cancel upon less than 24 hours notice, you would forfeit your cancellation fee. You would need to submit another $25.00 before continuing your counseling sessions.


 


What to Bring:


Please bring with you (one for each person being counseled) a Bible (a modern literal translation such as NASB, ESV, NIV etc. rather than a paraphrase such as The Living Bible), loose-leaf notebook, paper and pen.


 


Confidentiality:


Confidentiality is an important aspect of counseling, and we will carefully guard the information you entrust to us. There are situations when it may be necessary for us to share certain information with others. Therefore, you agree that our counselors may share certain information:


 


1) When a counselor is uncertain how to address a particular problem and needs to seek advice from another pastor, elder or counselor


2) When a counselee attends another church, and it is necessary to talk with his or her pastor or elders. Note: if you are a member/attender of Neighborhood Church, the fact you are receiving counseling may be shared with the Pastor-Teacher to assist him in shepherding the flock.


3) When there is a clear indication that someone, including you, may be harmed unless others intervene


4) When required by laws of the State of Florida and the United States of America


5) When a person persistently refuses to renounce a particular sin, and it becomes necessary to seek assistance of others in the church to encourage repentance and reconciliation (for descriptions of this Biblical principle please see Matthew 18:15-20 and Proverbs 15:22; 24:11).


 


Please be assured that our counselors strongly prefer not to disclose personal information to others, and will make every effort to help you find ways to resolve a problem as privately as possible.


 


Resolution of Conflicts:


On rare occasions a conflict may develop between a counselor and a counselee. In order to make sure that any such conflicts will be resolved in a Biblically faithful manner, we require all of our counselees to agree that any dispute that arises with a counselor or with the church as a result of counseling, will be settled by mediation and, if necessary, legally binding arbitration in accordance with the Rules of Procedure of the Institute for Christian Conciliation, a division of Peacemaker® Ministries (complete text of the Rules is available at www.Peacemaker.net). Judgment upon arbitration award may be entered in any court having jurisdiction.


 


The parties understand that these methods shall be the sole remedy for any controversy or claim arising out of this agreement and expressly waive their right to file a lawsuit in any civil court against one another for such disputes, except to enforce an arbitration decision.


 


An executed facsimile copy or e-mail delivery of a “.pdf” format data file shall be an acceptable form of acceptance of this Consent.


 


If you have any questions about these guidelines, please talk with Michael Lockstampfor, pastor of Neighborhood Church Ocala miklocks@gmail.com, (352) 421-1243.


 


 


 


I/WE HAVE READ AND UNDERSTAND THE ABOVE PROVISIONS, AND I/WE UNDERSTAND THEM AND I/WE HEREBY ACKNOWLEDGE AND AGREE TO ALL OF THE ABOVE TERMS, INCLUDING, BUT NOT LIMITED TO, THE CANCELLATION POLICY, WAIVER OF SEEKING REDRESS (LAWSUIT) IN THE CIVIL COURT SYSTEMS, AND AGREEING THAT ANY AND ALL DISPUTES BE RESOLVED THROUGH RESOLUTION AS DETAILED ABOVE.


 

Description

We believe that God has provided a generous wealth of information in His Word about how to live. Fill out this application to get started with pre-marital counseling.