The Whole Inc. Partnership Application Form
For those wishing to join our synaGaia called "Whole", please send us some information about you. For those confused at the terminology, a "synaGaia" is our house of worship like a synagogue or church, and "Whole" is the name of the "Church" or synaGaia. We are located in Midtown Atlanta, and we meet at various community spaces and local parks. We are actively seeking locations to meet in the midtown area. We also hold ceremonies for our members on a one-on-one basis or for small groups who are dedicated to deepening their spiritual practice and connection with Gaia/the Whole. 
Sign in to Google to save your progress. Learn more
What is you full name?
Who referred you to our synaGaia?
What is your address?
What is your email address?
What is your phone number?
Who can we put for your emergency contact? (name and number) , this would be someone who is aware of your plan to attend a prayer ceremony who our synaGaia can comfortably reach out to in the case of a physical, psychological, or emotional emergency during the ceremony and if a congregant provides any seriously concerning information that clearly indicates the intent to self-harm or harm another person. *
What is your Date of Birth?
MM
/
DD
/
YYYY

In order to be approved to join Whole, we hold a free 30-minute interview for new Partners. We also host a new member meeting once per month. Please write some dates and times where we can speak for 30 minutes. 

 *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms