First Name

Last Name

Address

Street Address

City

State

Country

Postal code

Phone *

Email *

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

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

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Attachment: Resume or Curriculum Vitae

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Attachment: Contemplative Reflection 1

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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?

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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.

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Attachment(if required by your faith body): Endorsement

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

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How did you hear about us?

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