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Form: Request Phone Interview to Apply for RPM
(Restoration Prayer Ministry for 18 hours)

1. After you share your ministry needs and goals, we will contact you for a confidential telephone interview.
2. After we agree on a schedule of appointments, you must send half your donation and the completed 10 page application in order to be added to our schedule.

 Because we have been hacked several times, we are not using working forms.  Please highlight, copy and paste these options into an email, fill in, and send them to us at contactus@cwlinc.com   Thank you.

FOR ONE APPLICANT
EACH ANSWER IS REQUIRED
Status
 
First and Last Name
 
Occupation or Employment  
Your Calling or Ministry  
Birth Date MM/DD/YYYY
 
Status
 
Email Address
 
Confirm Email Address
 
Main Phone
 
Secondary Phone
 
Best Time to Call
 
Street Address
 
City, Sate and Zip
 
SPOUSE OR PARENTS
(which ever is applicable)
Does your spouse/parent agree for you to receive RPM?
 
Their first and last name
 
What church do you attend?  
Does your Pastor agree for you to receive RPM?  
Agree to 18 hours of RPM?  
Have read the suggested articles and 10 page application?  
Understand RPM is not secular analyses or psychology?  
Want RPM by telephone, in person or using www.skype.com ?  
Dates I want to begin RPM  
Schedule 1 session each week?  
Schedule 6 sessions in 3 days?  
MINOR AGE CHILDREN ?
 
Children's Names and Ages
Do NOT bring children.
 
YOUR MINISTRY
Your current relationship with Jesus and the Holy Spirit
 
Areas you still need healing
 
Your spiritual gifts
 
Filled with the Holy Spirit?
 
Describe your current quiet times with the Lord
 
Your long range ministry goals
 

I will send half of my donation when I apply (minimum)

 

I understand this donation does not include room and board

 

I will send/give my last donation at the last session

 

I understand that missed appointments are not refunded

 

In case of emergency, I commit to reschedule appointments at least 24 hrs in advance

 

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This information will be kept confidential. You may call us at
850-830-8584 for more information. Blessings, Carlotta

After we review your request, we will attempt to call you.

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Help fulfill the Great Commission
Matthew 28:19-20


Copyright Carlotta Waldmann Cross Walk Life, Inc. 501 (c)(3)

Cross Walk Life, Inc. is here to provide insights, healing, teaching and training,
so that you can develop a more intimate relationship with Father God and
have the passion of Christ, to be equipped to fulfill your God given destiny.

 

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