Application for a (Virtual) Directed Retreat - Spiritual Direction Internship Initiative

Name *

First

Last

Address

(Street Address, City, State, Zip Code)

Phone number

Email address *

Contact person in case of emergency

(Name and phone number)

Gender

Date of birth

(Optional)

Religious denomination

Role

(Select all that apply)

Please comment on why you are choosing to participate in this program.

Have you received formal training in spiritual direction? Please mention where and when.

What is your experience in offering spiritual direction? For how long? How many directees?

What is your experience in Directed Retreat Ministry? Where? When? Frequency?

Are you presently receiving individual and/or group supervision? Frequency?