Application
Application Date *
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For which training date are you applying? *
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Contact Information
Name: *
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Address: *
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City: *
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State: *
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ZIP/Postal Code: *
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Country:
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Phone: *
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Email: *
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Personal & Church Information
Church, Synagogue, or Temple Membership, if any:
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Denomination, if any:
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Academic Training
Please list degrees earned, graduation years, and names of degree-granting institutions
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Spiritual Direction Training *
Please describe your spiritual direction training, including its duration and dates as well as the name and contact information for your training program. If you did not receive your training from an institution, please describe in detail how you learned to be a spiritual director.
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Service to Church/Community
Please describe services, either volunteer or paid, that you have provided to your community, including pertinent names and dates.
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Present employment, if any
Include present employer, position, and length of time in that position.
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Business/Professional Experience
Please describe briefly any relevant positions held in the past.
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Spiritual Direction/Supervision Experience
I have been in a formal spiritual direction relationship with a trained director for… *
Please enter the number of years.
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This is the name and contact information for my present spiritual director: *
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This is the name and contact information for one of my past spiritual directors: *
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I have been the recipient of supervision for: *
Please enter the number of years.
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This is the name and contact information for my present supervisor: *
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I have been offering formal spiritual direction for: *
Please enter the number of years.
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Written Responses
A. Tell us something about yourself and your interest in/call to supervision training at this time. *
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B. Name 3 or 4 insights you have gained in your own work as spiritual director as a result of supervision. *
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C. List a number of personal traits and skills that characterize effective supervisors. *
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D. Please describe your growing edge as a spiritual director and note a couple of the greatest challenges you experience in your practice. *
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E. Describe your experience as a spiritual director of groups, if any.
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F. Are you a member of Spiritual Directors International? If so, for how long? Do you abide by the S.D.I. Code of Ethics? *
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G. Describe in detail what you hope to learn in supervisor training, including which particular skills you’d like to gain. *
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Optional
A. Disability. If you have a disability for which you will need special arrangements please tell us what you need.
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B. Financial Need. If you would like to request a need-based scholarship, please tell us about your situation.
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Signature
I attest that typing my name below serves as my signature. Further, by signing and submitting this form:
* I certify that the information I’ve supplied is correct to the best of my knowledge.
* I give my spiritual director and supervisor permission to communicate with Together in the Mystery.
* I give Together in the Mystery permission to communicate with my spiritual director and supervisor.
I hereby apply to receive supervision training from Together in the Mystery. *
Enter your full name.
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