Spiritual Direction Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill out this form to request to work with spiritual director Frances S. Lee.

What's your name? *

What are your pronouns? *

What's your email? *

What's your phone number? *

Why are you looking to work with a spiritual director? What would you like to work on together? *

Please share anything other relevant information, such as your career path, your spiritual/religious background, any concerns in working with a spiritual director, etc.

Are you currently working with a professional mental health counselor, therapist and/or psychologist? *

Yes

What time zone are you located in? *

Eastern Standard Time

Central Standard Time

Mountain Standard Time

Pacific Standard Time

Hawaii-Aleutian Standard Time

What is your general availability to meet? *

Morning

Afternoon

Evening

Sundays

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

Please confirm that you read the below disclaimer. *

Spiritual direction and coaching are NOT substitutes for counseling, psychotherapy or mental health care. If you are in need of professional psychological diagnosis and treatment, I encourage you to reach out to a licensed physician or licensed mental health professional or psychologist. Visit NQTTCN https://nqttcn.com/en/ to look for queer therapists of color in your area.

Yes, I read it

Required

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms