Spiritual Conversation 2019-20
Registration Form
Please return as soon as possible, however those seeking financial assistance should return it by June 10th 2019, to allow time to apply for a grant.
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Title
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Christian Name *
Surname *
Address (inc Postcode) *
Email Address *
Mobile / Contact number *
Do you have any special needs or medical conditions? (mobility, hearing, allergies etc)
e.g do you need to use our loop system if you are hard of hearing, or do you require disabled parking required etc
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Please give us brief details of medical condition, special needs or assistance required
The following information would be helpful...
Answering these next few questions is optional, but the information helps us with our future planning. Thank you, if you choose to answer them.
Denomination / Church Tradition
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Occupation / Voluntary Work / Ministry
What is your date of birth?
MM
/
DD
/
YYYY
How did you hear about the course?
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Some information about you and why you want to do the course
Have you completed “Growth in Prayer and Reflective Living,” a similar course or Spiritual Exercises? *
You can tick more than one box
Required
Have you followed any other courses which are relevant to Spiritual Conversation? *
Please give brief details ...
Are you receiving, or have you ever received, spiritual direction/accompaniment?   *
If Yes, how do / did you find the experience?
What form does your present practice of prayer take? *
What is the best single piece of advice about prayer given to you?
Have you experienced an individually guided retreat or any other type of retreat? *
If yes, then please tell us how you found it?
What is your experience of helping others in prayer or accompanying people in their journey of faith? *
What gifts and skills do you bring to this course? *
What do you hope to gain from this course? *
References
Please give the details of two referees to support your application. These should be people who know you well, at least one of whom should be familiar with spiritual accompaniment in the Christian tradition.  

Please let your referees know that we will email them with a reference form and ask them to complete it as soon as they can.

Once we receive your application and two references from people who know you we will then write to you (by email) to let you know if your application has been approved.
Referee 1 *
Please give, name, email address or contact details and their relationship to you
Referee 2 *
Please give, name, email address or contact details and their relationship to you
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