Pastors & Leaders Application Form

Fill out the form below so we can get to know a little about you & your organization as well as what needs you might have. This will help us to consider what ways we might be able to help.

Name

First Name

Last Name

Organization Name & Your Position (if applicable)

Phone

Country

(###)

###

####

Have you had training to help people with trauma?

Yes

If you answered yes above, please explain.

What was the training like? What was helpful? What do you wish was covered but wasn't?

Do you think that there are people you work with who are DID or SRA/DID?

Yes

Maybe

If you answered yes or maybe above, please explain.

What indicators make you believe they might be DID or SRA/DID? What questions or concerns do you have regarding some of the people you help?

What are you hoping that The Lazarus Mandate can do for you &/or your organization?

What other questions or concerns do you have?