St. Verena Resource Ministry

Request Assistance - Consultation Request Form

Personal Information
* First Name:
* Last Name:
* Phone Number:
* Email:
Church Information
* Church Name:
* Church City:
* Church State:
Consultation
* Date of request	(mmm/dd/yyyy)
* Contact Preference
* Language Preference
* Who are you seeking consultation for?
* Area of Consultation Seeking:

* Required Fields

Your name and phone number will be given to the volunteer consultant in our database. Please be informed that the committee will contact you within 3 days via email of a date & time of when a consultant will contact you.

All of our volunteer consultants have agreed to maintain strict confidentiality. All contact with the consultant must be made via the committee and not directly by the individual seeking consultation. Please remember we are not endorsing a particular professional or his/her business. Neither the Coptic Orthodox Diocese of the Southern United States nor St. Verena Resource Ministry Committee is responsible for the accuracy of the consultation provided. This ministry should be utilized strictly as an informational, assistance, referral, and network guide. Volunteer consultants do not diagnose, prescribe, intervene, or treat any persons or situations through this ministry.

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