Application for Individual Spiritual Direction - 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)

How would you describe spiritual direction?

Why are you seeking spiritual direction at this time?

Please comment briefly on your past experiences with spiritual direction. How was the experience helpful or unhelpful?

Would you be open to receive spiritual direction virtually on Zoom or by phone?

Would you be open to traveling to Brighton, MA for spiritual direction?

Please mention any preference you have regarding a spiritual director, or type "NONE" for no preference.