SPIRITUAL DIRECTION INTERNSHIP INITIATIVE Application for Admission to Certificate Program in Spiritual Direction 339 Jerusalem Road Cohasset, MA 02025 617-680-6815 retreat@csjretreatcenter.org www.csjretreatcenter.org Please fill in ALL requested information. Please enter N/A for Not Applicable where necessary. Important: In order for us to serve you via email, please put the following address in your email address book now: Retreat.Center@csjboston.org If you do not receive a reply from us because we are not in your address book, the reply was placed into your spam folder by your email program.
Name: Last: First: Middle:
Address Street:
Address City: .. State: Zip:
Telephone: Social Security Number (optional)
1. E-Mail Address :
2. Retype E-Mail Address :
Religious Affliation: If you are a vowed or associate member of a Religious Congregation, please add the name of the congregation.
Please list all the colleges and graduate schools you have attended.
1. Institution: Location:
Dates attended:
Degree or Certificate: Degree Granted:
.................................................................................................................
................................................................................................................. 4. Institution: Location:
Undergraduate Field(s) of concentration:
Graduate Field(s) of concentration: ........
How have you been employed since finishing college? Please list type of work, where, when.
List the names of the three persons from whom you will request references. At least one of these persons who can comment on your potential as a spiritual director should have known and worked with you but not in a teacher-student relationship.
Personal Statement:
Please compose a statement of about 500 words in which you touch on the following:
a.) Your family background; b.) Your understanding of spiritual direction; c.) What you hope to do as a spiritual director; d.) On the basis of your experience, what do you regard as your principle strengths for this ministry and your areas of development; e.) Why you are applying to the Spiritual Direction Internship; f.) What is the feasibility of your finding 2-3 directees with whom you will meet bi-weekly from late September until mid May?
Date:
Thank you.
1.) Completed Application Form 2.) Three completed Reference Forms 3.) Personal Statement 4.) Personal Interview
Your $50 non-refundable application fee can be brought on the day of your interview. Please make your check payable to Spiritual Direction Internship Initiative.
