Prayer Request Form (revised 2023) - First United Methodist Church

How can we pray for you? *

Confidentiality is important in some situations

We will share your requests with the pastors and Amy Kennedy (Minister of Congregational Care). Is there anyone else who you would like your prayer request shared with?

FUMC staff

Prayer chain (FUMC members who volunteer to pray when asked)

Include my request in our Caring and Connected monthly newsletter

How shall we identify you?

Please use my first name only

Please use my first and last name

I prefer to remain anonymous

If you are requesting prayer for others, have they agreed to share their name and concern in this way?

Yes

No

Other

Does your request involve a local hospital so we might be able to make a visit?

Note that there may be restrictions on in person visits during the pandemic.

No hospitalization

U of Michigan Ann Arbor

St. Joes - Ann Arbor/Yspi

St. Joes - Chelsea

Rehab facility (please list below)

Other

If you would like to be contacted by text or phone call, please provide your number below

Phone number

Is there any additional information that you'd like to share?