Oak Cliff Bible Fellowship. Dr. Tony Evans, Pastor

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Reconciliation Intake Form

  Personal Information
* Full Name
* Address
* City
* State
* Zip Code
* Today's Date
Daytime Phone
* Email
Evening Phone
Fax Phone
* Marital Status
Spouse Name
* Does an attorney represent you?

  Information about the Other Person
* First and Last Name
* Relationship to You
Address
City
State
Zip Code
Daytime Phone
Evening Phone
Fax Phone
* Does an attorney represent you?

  Information about your problem or dispute.
* Briefly describe your dispute?
* What have you done to resolve dispute?
* What issues or questions do you want resolved or answered?
* What do you expect from reconciliation?
* What do you want from the other party?
* Is there any other information we should know?

  Religious Background
A person's religious background can have a significant impact on how he/she deals with conflict.
For us to be sensitive to your personal convictions, it is helpful that we have the following:

* Religion
* Do you believe in God?
If yes, when did you make your decision to follow Christ?
* How often do you pray to God?
* How often do you read the Bible?
* Do you believe when you die you'll be with God eternally?
* Why do you believe this?
Church Home
Pastor
In what ministry area(s) do you serve?
OCBF Member
 


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