Hope Triangle Application
Please fill out this form and click submit.
Your Information
Name
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Phone
*
Email
*
This address will receive a confirmation email
Age Range
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Please select one option.
18-25
26-35
36-50
51-65
66+
Your Situation
Which of these are you currently struggling with? (Check all that apply)
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Please select all that apply.
Financial instability (debt, unemployment, budgeting challenges)
Loneliness and isolation
Mental health challenges (anxiety, depression, trauma)
All of the above
Tell us briefly what's going on in your life right now:
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Are you currently in crisis? (suicidal thoughts, experiencing abuse, severe addiction requiring clinical intervention) If yes: We care about you and want to help, but Hope Triangle isn't equipped for crisis intervention. We'll connect you with professional resources and you can join Hope Triangle once you're stabilized.
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Please select all that apply.
Yes
No
Are you currently seeing a therapist or counselor?
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Please select all that apply.
Yes
No
I have in the past but not currently
Your Faith Background
How would you describe your relationship with God/faith right now?
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Please select all that apply.
I'm a Christian and actively following Jesus
I believe in God but I'm not very active in faith
I'm exploring faith but haven't committed
I'm skeptical or unsure about God
I'm not religious at all but I'm open to this
Have you been to church before?
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Please select all that apply.
Yes, regularly
Yes, occasionally
Not since I was a kid
Never
Understanding of Hope Triangle:
This is a Christian support group. We will pray together, read Scripture, and talk about how faith intersects with your struggles. Are you okay with that?
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Please select one option.
Yes, that's what I'm looking for
Yes, I'm open to it even though I'm not sure what I believe
I'm not sure
No, I'd prefer secular support
Logistics:
Can you commit to attending weekly meetings for 10-12 weeks?
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Please select all that apply.
Yes
Probably
Not Sure
Which evenings work best for you? (Check all that apply)
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Please select all that apply.
Monday
Tuesday
Wednesday
Thursday (note: this is when EPL meets, so probably not ideal)
Friday
Saturday
Sunday
How did you hear about Hope Triangle?
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Please select all that apply.
Attended Eat, Pray, Love
Friend or family member
Social media
Flyer in neighborhood
Church partner or referral
Anything else we should know?
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Submit
Description
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