Online Application for Personal Ministry at Ellel USA

Please note: All ministry will be conducted with the highest confidentiality. Ellel Leadership may exercise discretion in extreme circumstances where others (particularly children) may be at risk, or where there are legal constraints requiring disclosure be made to appropriate authorities.

CLICK HERE for more information about Ministry Days at Ellel USA.

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Gender

Male Female

Marital Status

Single Married Divorced Remarried Widow/er Separated

Name of church (if any)

How often do you attend?

Regularly Occasionally Rarely

Name of minister/pastor/leader

Does your church leadership know that you have applied to Ellel USA? (We will enclose a letter when we invite you for ministry which you have the choice of giving to your pastor or leader.)

Yes No

Ellel cannot provide ongoing support/ministry in every situation. In the event such support is recommended, do we have your permission to contact the pastor/leader indicated above to discuss continuing care? Note: none of your personal information will be shared without your signed release. Release form available upon request.

Yes No

Have you received or are you currently receiving ministry from your local church?

Yes No

If yes, please give brief details

Has your church agreed to provide ministry for needs that arise after your visit to Ellel USA?

Yes No

Ellel Ministries is not able to provide ongoing support/ministry in every situation. Applicants are encouraged to reach out for additional support from their local church, similar organization, or Christian friends.

At times it is advisable for a support person to accompany an applicant. Please provide the name and contact number of a trusted individual should the need arise.

Please indicate the area(s) of healing needed.

Physical Healing Mental Stress Emotional Hurt Phobias/Fears Addictions Other (please specify below)

Please give brief details for any area you marked above.

Are you experiencing difficulty with any of the following? Marriage partner Children Sexual Problems God Church Authority figures Other

Please give brief details for any area you marked above.

Have you received, or are you currently receiving any medical/psychiatric help concerning your present needs?

Yes No

Please give brief details

Are you willing for your doctor or psychiatrist to share helpful and necessary information with us? Yes No

Please list any ministry which you have received outside of Ellel Ministries other than your church.

Have you previously received ministry at an Ellel Ministries center?

Yes No

I received ministry during a (check all that apply) Church Visit Conference Training Course 1-day Healing Retreat or Ministry Day 3-day Healing Retreat Healing Service Personal Appointment

Which Ellel Ministries Training Courses (if any) have you attended?

Can you attend Midweek? Weekends? Short notice?

Please note that all Ministry Days and most Personal Ministry Appointments are scheduled for Wednesdays.

Please indicate if you have any special needs. Wheelchair Poor sight Medical diet Unable to climb stairs Blind Other (please specify below) Medication (please specify below) Hearing difficulty

Please give brief details for any area you marked above.

Have you been involved in the occult? e.g. witchcraft, spiritism, etc.

Yes No

My occult involvement was Minor In-between Major

Have you or your family been involved in a religion or belief system apart from Christianity?

Yes No

Please give brief details

Do you hold a leadership position in your church?

Yes No

Please give brief details

Are you in full time Christian work?

Yes No

Please give brief details

Please provide any additional information that may assist us in preparing to minister to you.

Online Application for Personal Ministry at Ellel USA

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