Institute and Spiritual Direction/Coach Training Application Name(Required) First Last Birth Date Sex(Required) Male Female Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Cell Phone(Required)Other PhoneEmail(Required) Best Way to Contact You (please choose one):(Required) Text Message Email Phone Call Church(Required) Ministry Position(Required) Marital Status(Required) Married Single Name of spouse (if married) Briefly List your Academic/Ministry Education(Required)Briefly List your Vocational History(Required)Describe your personal spiritual journey.(Required)Describe your prayer life and spiritual practices.(Required)In what ways are you experiencing Christ’s presence or absence in this season?(Required)Describe your ministry experience and current ministry context.(Required)If you have explored your personality type (Enneagram, Myers-Briggs, or other), please share your type(s) and any insights you have found helpful in your life or ministry.(Required)What is your personal experience with the ministry and resources of Soul Shepherding?(Required)Briefly describe why you want to attend the Soul Shepherding Institute.(Required)PHOTO: Please attach a recent picture of yourself. *[Click or drag a file to this area to upload.](Required)Accepted file types: jpg, jpeg, png, gif.Please indicate where you’ve heard about the Soul Shepherding Institute.(Required) Soul Talks Podcast Soul Shepherding Blog Soul Shepherding Emails Soul Shepherding Website Soul Shepherding Book (Which one?) Internet Search (What keywords?) Facebook Other Social Media (Which ones?) Friend/ Pastor (Name?) Another Ministry (Which one?) Other (Where?) Select AllSoul Shepherding Book (Which one?)(Required) Internet Search (What keywords?)(Required) Other Social Media (Which ones?)(Required) Friend/ Pastor (Name?)(Required) Another Ministry (Which one?)(Required) Other (Where?)(Required) LETTERS OF REFERENCEPlease obtain ONE reference (TWO if you are applying to the Spiritual Direction Training and/or Coach Training Programs) from your pastor, ministry supervisor, or a spiritual mentor using the Personal Reference Form online (you can e-mail the link). SPIRITUAL DIRECTION AND/OR COACH TRAINING APPLICATIONPlease indicate which Soul Shepherding program(s) you are interested in applying for: Soul Shepherding Institute Only Spiritual Direction Training Program (which includes the Soul Shepherding Institute unless the Institute has already been completed) Coach Training Program (currently being restructured; if interested please indicate so and we'll get you details once they are finalized) I am interested in both the Spiritual Direction Training and Coach Training Programs If you are only applying for the Soul Shepherding Insitute you may click here to skip this section What is it about this Soul Shepherding Program that interests you?Why are you interested in becoming a spiritual director and/or coach?Describe your experience with spiritual direction or coaching. Do you have a spiritual director or coach now?Describe your personal strengths.Describe your personal weaknesses.How do you hope to use this training in your life and ministry?PAYMENT POLICY Soul Shepherding Institute Retreat Fees: The fee for each retreat week is $1,200 ($1,100 Early Bird discount if paid in full 60 days in advance). This includes meals and lodging. Attendees are responsible for all travel arrangements to and from the retreat. Because it is valuable for married couples to attend together, we are happy to offer a 25% discount for spouses sharing a room at a retreat. To reserve your spot for a week, you may either pay in full or make a $250 deposit. The deposit is non-refundable. (See below for cancellation policy.) Full payment is due 30 days prior to the start date of the retreat. Please note, if you are applying for the Spiritual Direction Training (SDT) Program, please see below for the combined Institute/SDT Program fees. Combined Institute/SDT Program Fees: The combined fee for the Institute and the SDT Program is $349 per month for 24 months. These fees include payment for the required 4 Institute retreats. Please note, there are additional costs for required spiritual direction sessions, books, and optional private rooms at the retreats. To Make a Payment: To pay you can use our secure page at Pay for Services or mail a check to Soul Shepherding, 4000 Barranca Parkway Suite 250, Irvine, CA, 92604. If you need financial assistance, please contact mark@soulshepherding.org. CANCELLATION POLICY Institute: We have designed our cancellation policy to be considerate while also respecting the costs incurred by Soul Shepherding. 45 days or more prior to the start of a retreat you can cancel and request to apply your deposit to another retreat occurring within 12 months. 0-44 days prior to the start of a retreat no refunds or credits will be given. Soul Shepherding will receive what you paid as a tax deductible donation. To cancel, email sue@soulshepherding.org.MEDIA AND LIABILITY RELEASE I understand that I will be photographed, recorded or videotaped and I authorize Soul Shepherding, and its agents, to record my appearance and participation in any Soul Shepherding event on videotape, audiotape, film, photograph, or any other medium currently in existence or hereafter created. For valuable consideration received and acknowledged, I grant Soul Shepherding the irrevocable, worldwide right to use, reproduce, modify, distribute, display, perform, transmit, prepare derivative works from, and exhibit such recordings, and allow others to do the same, in any medium now in existence (e.g., CDs, DVDs, Internet, YouTube, social media, streaming from the Soul Shepherding website, etc.) or hereafter created, in whole or in part, without restrictions or limitation for any purpose that Soul Shepherding deems appropriate. I consent to the use of my name, likeness, voice and biographical material provided by me or developed by Soul Shepherding in connection with such recordings. In the unlikely event of an accident or injury while attending a Soul Shepherding retreat, I release Soul Shepherding and its board members from liability. I am aware that this is a release and indemnification of liability and I sign it on my own free will. I have read and understood the terms of this release and agree that it shall be binding on my heirs and assigns. My signature below affirms that I have read, understood, and agreed to the above Media and Liability Release. At Soul Shepherding, we are sensitive to the needs of missionaries who serve the persecuted church. If it is not possible to be photographed at our Institute retreats, please indicate that here. Applicant Signature(Required) Date(Required) MM slash DD slash YYYY Δ