Name *


Address *


City *


State *


Zip Code *


Home Phone


Work Phone *


Cell Phone


e-mail address *


Church position *


Church location *
Urban
Rural
Suburban

Name of Congregation *


Average Sunday Attendance *


Date of Birth *


Date of Ordination *


Denomination *


Years in Congregation Ministry *


Church Web Address


Recomendation #1 Name/Phone/Position/Relationship *


Recomendation #2 Name/Phone/Position/Relationship *


Recomendation #3 Name/Phone/Position/Relationship *


Educational Background [Institution(s)/Degree or Certificate/Date] *


What spiritual renewal and/or educaitonal opportunities have you participated in over the past three years? *


For me, genuine community is... *


The gifts I have to form this community are... *


Recognizing the fact that the program requires a true commitment, please share with us the support you will attain [i.e. child care, congregation support, emotional support...] *


My dearest hope for participating in Women Touched by Grace is... *


Since this program will be in conjunction with a monastic religious community and women of various denominations, my hopes and expectations are... *


In order to deepen my relationship with God right now, I need... *


Please attach a recent photo of yourself with this application. *