Spiritual Director Network Form

Please complete this form if you would like to be listed on the ncspiritualdirection.org website that is dedicated to the Spiritual Directors Network of Eastern North Carolina. This opportunity is ONLY being offered to those who have been vetted by completing this form, currently meeting regularly with a Spiritual Director, and who are also currently meeting with a Supervisor or in a Supervision Group. Please only include the contact information on the form below that you would like for us to list on the website. **IF you are an approved spiritual director of the NC Institute for Spiritual Direction and Formation or St. Thomas More’s Catholic Community you need only to complete required fields and then go to the bottom portion of this form. Please let us know if you have any questions or concerns contact us at info@ncspiritualdirection.org.

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Name
Formal Education- school(s), degree(s), date(s):
Provide a brief history of your primary occupation, including dates of employment and locations:

SPIRITUAL DIRECTION QUALIFICATIONS

Formation Program(Required)
Name of Institution
Dates Attended:
Please upload a copy or letter of confirmation of this certification.
Max. file size: 64 MB.

SPIRITUAL DIRECTION PRACTICE AND HISTORY

Provide a history of your Spiritual Direction ministry, including dates, locations, supervisors, and estimated number of directees:
Code of Ethics(Required)
List the qualifications you have for presenting specialized programs (e.g. the Spiritual Exercises, dreamwork, the Enneagram):

CONTINUING FORMATION

List any recent conferences/training programs/continuing formation you have completed related to spiritual direction:
Retreat
Do you retreat annually?
When and where was your last spiritual retreat?
Is there a specific tradition that you offer direction for? (this will be listed on website)
Do you have a particular denominational affiliation?
Active
If yes, are you fully initiated and active in a local congregation within that denominational affiliation?

FOR THOSE INTERESTED IN PARTICIPATING IN AFFILIATED SPIRITUAL DIRECTION MINISTRIES:

Additional referrals
Are you interested in receiving referrals from the Catholic Community of St Thomas More (Chapel Hill, NC)?
Permission
If so, do you give permission for this form to be shared with the spiritual direction coordinator at St Thomas More?

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Website Listing (NCISDF and St Thomas More Spiritual Directors start here)

The following information WILL be listed on our website following the vetting process. Please enter information EXACTLY as you wish to have it listed.
Name(Required)
Preferred email for directees.
Preferred contact phone. Leave blank if you wish to only be contacted by email.
Please list your personal website.
This should be 200 characters, about 25 words or less.
Please upload your picture to go with your listing. It must be in a PNG or JPG format.
Max. file size: 64 MB.
This field is for validation purposes and should be left unchanged.