Clergy Application

RICHMOND EMMAUS/CHRYSALIS CLERGY APPLICATION (Rev. 1/2022) The Weekend Spiritual Director (WSD) is the primary clergy leader of the Emmaus /Chrysalis event. The Weekend Spiritual Director is selected by the Board of Directors, with the recommendation of the Emmaus / Chrysalis Community Spiritual Director, and is responsible to the Board as the spiritual leader of the weekend. As with the Weekend Lay Director, the Weekend Spiritual Director must have sufficient experience, training, and ability to fulfill the role. Assistant Weekend Spiritual Directors (AWSDs) are selected by the Team Selection Committee and the Community Spiritual Director. The AWSDs assist the Weekend Spiritual Director during the Emmaus / Chrysalis event.
Full Name
Personal Information (Please type or print in black ink)
Name you prefer to be called
Address

Home Address

Street Address Line 2

City, State. ZipState / Province

Postal / Zip Code
Home phone
Format: (000) 000-0000.
Work/cell phone
Format: (000) 000-0000.
E mail Address
example@example.com
Are you an ordained minister?YN
so, Date of Ordination

MonthDayYear
Date
Church or denomination
Clergy status (i.e., licensed, certified, deacon, etc.)
If a pastor, what church(es) do you currently serve?
If you are a retired pastor in good standing, where is your home church?
Richmond Emmaus Clergy Application - Page 2

Educational Background: Please list the theological school(s) you have attended. the date(s) of graduation(s), and degree(s) you have earned in your ministerial training:
School
Year
Degree
School
Year
Degree
Emmaus / Chrysalis Experience: In what Community and when did you make your Emmaus Walk, or other Upper Room Event?
In what Community and when did you make your Emmaus Walk, or other Upper Room Event?
When did you complete Fourth Day Training?
Have you attended Emmaus/Chrysalis Clergy training conducted by The Upper Room staff or a Clergy Regional Representative?
If Yes, in what Community and when
Previous Teaming experience as a layperson (Community name, Walk/Flight number, jobs held)
Previous Teaming experience as clergy (Community name, Walk/Flight number. jobs held)
God Designed YouJustifying GraceGod Loves YouGod's Gift to YouMeans of Grace
YesNo
If yes, Community and Walk / Flight number?
Group ReunionGatheringSponsors HourCandelightClosingsSponsoringAgape Support
Richmond Emmaus Clergy Application - Page 3

Team Participation Expectations: Team formation is a 23-26 hour process, typically conducted over a series of evening meetings before the weekend event. Team members are expected to attend all team meetings and to pre-view their talks. Specific team meetings that must be missed shall be coordinated with the Weekend Spiritual Director and the Weekend Lay Director. The WSD and at least one AWSD must commit to staying for the entire weekend to minister to the Pilgrims and Team.

The cost for each Richmond Emmaus Community team member on a Walk, including Spiritual Directors, is currently $300.00.

If you understand and agree to abide by these expectations, please complete this form, sign and date it below, and then submit it.
Signature of Applicant

Clear
Date

MonthDayYear
Date
Should be Empty: