VISITATION MINISTRY REQUEST

For residents of Scott Valley

(under construction - online requests are not yet functional)

If you have an immediate need to request a visit please call 530-468-2201 or 530-468-4217

PURPOSE: 

Help extend the love of Jesus Christ by making contact with those that are new to the area, new believers, in need of prayer or family support, admitted to the hospital or confined in their homes by illness.  This ministry will also be a resource to help plug people into the right areas of fellowship and counseling when needed.

Please provide the following information when making your request so we can identify the appropriate persons to visit your home:

Name:                                                             Date:                        

 Address:                                                                                             

 Day Phone:                                   Eve Phone:                                  

 Age Group:                              Gender:                       Marital Status:

[  ]  Under 20                           [  ]  Male                       [  ]  Single        [  ]  20-39                                                                    [  ]  Married

[  ]  40-59                                 [  ]  Female                  [  ]  Separated   [  ]  60-79                                                                   [  ]  Divorced

[  ]  80-above                                                               [  ]  Widowed              

Requested Need (check all that apply):

 [  ]  New to Area, I want to connect with people in the Church

[  ]  New Believer, I want to better understand my faith in Jesus Christ

[  ]  Physical Healing, I have an illness that needs prayer and support

[  ]  Family Needs, I and my family are struggling in our relationships and

      need prayer and support

[  ]  Spiritual Growth, I would like biblical guidance to help me grow in my

      walk with the Lord

[  ]  Personal Crisis, I am grieving loss (home, job, family, etc.)

[  ]  Home-bound, I have no transportation or am unable to leave my

      home due to illness and need contact with other believers

[  ]  *Hospital or Care Home, I will be entering or am already placed in a

medical care facility and would like a visit from fellow believers to pray with me and give me encouragement.

*Please indicate date admitted:                and, length of stay:                  

Availability:   [  ]  Mornings                      [  ]  Weekdays

                    [  ]  Afternoons                   [  ]  Weekends

                    [  ]  Evenings