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Fall Mentoring Group Application
This application is for the 8-week mentoring group lead by Fr. Andrew Miller on Monday mornings from 8:00-10:00am ET beginning Sept 13 through Nov 1. The cost of mentoring is $200 due upon acceptance. Acceptance emails will go out at the end of August.
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Phone Number (or What's app)
*
Your answer
What city and state do you live in? (Ex. Tallahassee, FL) or City, Country (Sydney, Australia)
*
Your answer
What level of HeartSync Education do you have (check all that apply please)
*
Basic Seminar once
Basic Seminar more than once
Intermediate Seminar once
Intermediate Seminar more than once
Mentoring group (20 weeks or less total)
Mentoring group (more than 20 weeks total)
Practicum (4 days or less total)
Practicum (5 days or more total)
Intern in the HeartSync Qualification program
Qualified Facilitator in HeartSync
Certified Minister in HeartSync
Other:
Required
Who have you studied/mentored under in the past? (check all that apply)
*
Father Andrew - live or in person
Father Andrew - Recorded
Transformation Ministries (Ginger and Denise) (Tennessee)
Gold Monarch (Texas)
House of Hope (California)
Steve Fair (Michigan/Ohio)
Kathryn Wenth (Texas)
Karen Pezdek (North Carolina)
Janet Howden (Canada)
Gary Day (Texas/Online)
Bill Irwin (California)
Christina Fowler/Laurie Barton (DC Area)
Lisa Miller/Cheri Fye (Tallahassee, FL)
Other:
Required
Do you currently facilitate sessions outside of mentoring?
*
Yes
No
Not yet, but I'm willing
Yes, but only in an intercessor capacity
Other:
Are you currently working with a group for ministry? (If so please tell us who and a brief synopsis of what you do)
*
Your answer
Will you be able to attend each session?
*
Yes, unless an emergency happens
Most, maybe missing a week or two?
No,
Other:
Will you be able to commit a maximum of 1 hour outside of session for potential video homework? (This is an idea we've been thinking about)
*
Yes
No
Maybe
Other:
Why are you interested in HeartSync Mentoring?
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Your answer
A copy of your responses will be emailed to the address you provided.
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