SDII Application Form

SPIRITUAL DIRECTION INTERNSHIP INITIATIVE Application for Admission to Certificate Program in Spiritual Direction 339 Jerusalem Road Cohasset, MA 02025 617-680-6815 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. I have read and responded to this request. (Type: "Yes")
Name: Last: First: Middle:
Address Street: Address City: .. State: Zip:
Telephone: Social Security Number (optional)
1. E-Mail Address : 2. Retype E-Mail Address :
Date of Birth: Month: Day: Year: Place of Birth:
Religious Affliation: If you are a vowed or associate member of a Religious Congregation, please add the name of the congregation.
Place of Employment: Occupation:..............
Please list all the colleges and graduate schools you have attended. 1. Institution: Location: Dates attended: Degree or Certificate: Degree Granted: ................................................................................................................. 2. Institution: Location: Dates attended: Degree or Certificate: Degree Granted: ................................................................................................................. Dates attended: Degree or Certificate: Degree Granted: ................................................................................................................. 4. Institution: Location: Dates attended: Degree or Certificate: Degree Granted:
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.
Please list any other ministerial or pastoral activities in which you have been engaged.
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.
Admission Requirements: 1.) Completed Application Form 2.) Three completed Reference Forms 3.) Personal Statement 4.) Personal Interview Your $75 non-refundable application fee can be brought on the day of your interview. Please make your check payable to Spiritual Direction Internship Initiative.
After you click the "Submit Application" button you will be asked to input a word into a box to continue the submission process. This is needed to control SPAM mail. If you receive the error message: "This request has already been processed." use your BACK button to return to this completed retreat application page, click the "Submit Application" button again and then input the new word in the box. When the application goes through you will see the message, "THANK YOU FOR FILLING OUT THIS FORM" listing all of the information you put on the retreat application.