First Name

Last Name

Gender

Phone Number

I am:
A member of Mt. Zion Baptist Church
Pursuing membership of Mt. Zion Baptist Church
Regular attender Mt. Zion Baptist Church
Member of another church
Other

Which type of Biblical Soul Care Training are you interested in?
Advocate Training
Biblical Soul Care Training
Biblical Counselor Training
Certified Biblical Counselor Training

Have you ever received Biblical counseling training in the past?
Yes *
No

Please give a brief description of why your interested in training at Mt. Zion Baptist: