First Name

Last Name

Address

Street Address

Country

State

City

Postal code

Phone *

Email *

Attachment: Master's or Doctorate Degree (transcript or diploma)

Please provide evidence of a 1600 hour internship or residency in Clinical Pastoral Education, Pastoral Counseling, or a related clinically supervised, spiritually-integrated internship.

Attachment: Resume or Curriculum Vitae

Attachment: Contemplative Reflection 1

Please share an autobiographical statement that explores your spiritual journey, highlighting moments of self-awareness and self-reflection? Additionally, how have you integrated your understanding of psycho-dynamic principles with your spiritual development, offering insights into your holistic growth and transformation?

Attachment: Please provide a list of programs you have completed which contribute to the 200-hour requirement for Certification as a Multifaith Spiritual Director. This can include Cohort and Experiential Fellowship, Residency, Internship, etc. Be sure to include dates, program, length of program, and synchronous or asynchronous.

Attachment(if required by your faith body): Endorsement

Statement from Spiritual Director attesting to a minimum of 24 hours as a Spiritual Directee.

How did you hear about us?

Are you a member of an AMSD Institution? If so, which organization?