ADMISSION INFORMATION Date you hope to start the Institute? * Do you want to attend all four weeks/retreats of the Institute? * Do you want to earn a certificate in Spiritual Direction ministry? * Yes No Maybe PERSONAL INFORMATION Birth Date * Sex * Male Female Cell Phone * Home or Work Phone Email * Website / URL Church * Ministry Position * Marital Status If married, name of spouse If married, is your spouse supportive of your participation? Emergency Contact: Name, phone, and relationship to you. * COLLEGE/MINISTRY EDUCATION & WORK HISTORY * Referrals (Please indicate ALL of the ways you heard about the Soul Shepherding Institute?) * Select One Soul Talks podcast Soul Shepherding Blog (email) Soul Shepherding website. What resource? Soul Shepherding book. Which one? Internet search. What keywords? Facebook Other Social Media. Which ones? Friend/ Pastor. Name? Another Ministry. Which one? Other Details Any Additional Referrals Select One Soul Talks podcast Soul Shepherding Blog (email) Soul Shepherding website. What resource? Soul Shepherding book. Which one? Internet search. What keywords? Facebook Other Social Media. Which ones? Friend/ Pastor. Name? Another Ministry. Which one? Other Details Any Additional Referrals Select One Soul Talks podcast Soul Shepherding Blog (email) Soul Shepherding website. What resource? Soul Shepherding book. Which one? Internet search. What keywords? Facebook Other Social Media. Which ones? Friend/ Pastor. Name? Another Ministry. Which one? Other Details SPIRITUAL JOURNEY Briefly describe your spiritual journey. * What is your personal experience with the ministry and resources of Soul Shepherding? * Briefly describe why you want to attend the Soul Shepherding Institute. * How do you hope to use your training in the Soul Shepherding Institute? * Briefly describe your ministry experience and current ministry context. * What are 2 or 3 of your personal strengths? * What are 2 or 3 of your personal weaknesses? * What is your personality type? (Enneagram, Myers-Briggs, or other) * PHOTO: Please attach a recent picture of yourself. *
LETTERS OF REFERENCE
Please submit two reference letters. Ask your Pastor, ministry supervisor, or a spiritual mentor to fill out one. For the other ask someone who knows you on a personal level and is not a family member.
The fee for each retreat week is $900. 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 a spouses sharing a room at a retreat.
To reserve your spot for a week, you may either pay in full or make a $450 deposit. The deposit is non-refundable. (See below for cancelation policy.)
Full payment is due 60 days prior to the start date of the retreat.To pay you can use our secure donate button on SoulShepherding.org or mail a check to Soul Shepherding, 4000 Barranca Parkway Suite 250, Irvine, CA, 92604.
If you need financial help you can apply for a partial scholarship. To learn more contact Sue@SoulShepherding.org.
We have designed our cancellation policy to be considerate while also respecting the costs incurred by Soul Shepherding.
60 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.
0-59 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.
Applicant Signture *