Application to Apprentice in the Spiritual Exercises

Name *

First Name

Last Name

Date training completed *

If unsure of day, enter "01."

MM

DD

YYYY

Program instructor *

Please provide the name of a program instructor who would be able to offer a recommendation if asked.

First Name

Last Name

Pastor or church leader *

Please provide the name of a pastor, priest or ministry leader at your church who would be able to offer a recommendation if asked.

First Name

Last Name

Current spiritual director *

First Name

Last Name

Date of last appointment *

MM

DD

YYYY