Spirations Institute for Interspiritual Formation
Tel: 319.537.1153  |  Email: hello@spirations.com

Please complete the following form, and then click "Send Your Application" at the bottom.

If you should have any questions, please contact us via email at hello@spirations.com or via telephone at 563.933.4069.

PERSONAL INFORMATION

Choose the program for which you are applying:

Retreat-based CIRCLE Program
Distance Learning Internship

First Name:
Last Name:
Address:
City:
State:
Zip/Postal Code:
Email Address:
Telephone:

RECOMMENDATIONS:

Please provide the names and telephone numbers of those from whom you are seeking recommendation. Provide these individuals with a copy of the recommendation form and request that they be returned to Spirations by October 1, 2007.
NOTE: Your reference providers may also complete their portion online at www.spirations.com/recommend.html.

Name Phone
1.
2.
3.

PART I: QUESTIONS
Please answer the following questions to the best of your ability. Remember: there are no 'right' or 'wrong' answers here. There is simply your Story, which we receive with open and loving hearts.

(To be safe from the foibles of modern technology, we advise you to type/save your answers in a separate text document first, and copy-and-paste them into the form)

1. What attracts you to this program?

2. What important life experiences are woven into this attraction? Include the nature and extent of your experiences with any of the following:

  • Participation and leadership with women's groups
  • Receiving or providing psychological counseling that has contributed to insight into human nature and into your personal journey
  • Passions, callings, and personal interests
  • Career, educational, or personal goals
  • Explain:

3. How do you evaluate your current holistic health? Include physical, emotional, spiritual, and social health.

4. What specifically are you hoping to gain from this program?

5. What gifts do you feel you bring to the program?

6. How do you feel supported from those with whom you live and share community (family, friends, spiritual community, work place, etc.) for your participation in this program?

7. What areas of your life do you identify as your growing edges?

8. In the last five years, what classes, books, music, videos/DVDs, magazines or publications have excited you and influenced your journey?


PART II: YOUR STORY

Spirations honors Story. This includes your story. Please write a brief essay sharing the story of your spiritual journey in the box below (1000 words or less) or email it to us at hello@spirations.com. If artistic creations such as poetry, artwork, photography or music are part of this expression, we invite you to email samples of your work as well. (Submissions cannot be returned, so please send copies!)