Ministry Leaders Retreats Application

Ministry Leaders

For those in ministry and for those who walk along side and support those in ministry.
Full Name*

First NameLast Name
Date of Birth

MonthDayYear
Date
Mailing Address*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Preferred Method of Contact*
Church Information
Name of the Church*
Denomination*
Church Address*
Senior Pastor's Name*
Your Role in the Church*
How long have you been serving as a pastor's wife?
Emergency Contact Information
Full Name*

First NameLast Name
Relationship to You*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Retreat Expectations
What are your main reasons for wanting to attend this retreat with Juliette? (Please check all that apply) There are no wrong answers.*

Spiritual RenewalFellowship and quality time with Juliette RossBuilding RelationshipsTruly Needing a confidantFellowship with other pastors' wivesRest and RelaxationLearning and DevelopmentCounseling and SupportOther (please specify)
What topics or issues would you like to see addressed during the retreat? (Please list)*
Do you have any specific goals you hope to achieve by attending this retreat? *
Personal Reflections
Describe your current season of life and ministry. *
What are some of the challenges you face as a pastor's wife? *
What are some of the blessings you experience in your role?*
How do you currently nurture your spiritual growth?*
What support systems do you have in place (family, friends, church community, etc.)? *
Do you have any hobbies? *
What are some of your favorite things to do in your downtime?*
Favorite Color?*
Favorite Scents (if any)*
Favorite genre of music and/or favorite artist?*
If you could do 1 thing that personally fulfills YOUR own personal heart’s desire, what would that be?*
Do you have a favorite scripture?*
Are you open to learning new things on this retreat?*
Do you have any fears or phobias?*
Are you an introvert, extrovert, or ambivert?*
Health and Dietary Information
Do you have any dietary restrictions or food allergies?*
Do you have any medical conditions or health concerns we should be aware of?*
Are you currently taking any medications? *
Do you require any special accommodations during the retreat? *
Pricing
Our retreats are all-inclusive with lodging, food, land transportation, activites & any take home gifts, (+) Includes a 1 Year subscription plan to Mentor U! to further your in person community and discpleship with Juliette Ross and the rest of the mentors on the platform.

These retreats are for 3 nights stay. We do offer payment plans for your convenience. Please inquire within at retreats@wholewomanco.org for any other questions. (It does NOT include your air travel).

Pricing for our all-inclusive Ministry Support Retreat are as follows and can vary on time of year and location. $3,000 - $3,200

Dates: Take A load off from Ministry Retreat: March 27th-30th.

$3000 - Shared rooms. single beds &/or bunk beds (First come first served on single rooms (if avail)

$3200 - Single rooms (not shared with anyone)- first come first served. (Bathrooms are shared).

___________

** MentorU! Plan starts at time of your completed registration.
Logistical Information
Will you need transportation assistance to and from the retreat location?*
Are there any specific activities or sessions you are particularly interested in? *
Are there any specific activities/ animals that you are deathly afraid of?*
Consent and Agreement
I understand that the information provided in this application will be used solely for the purpose of the retreat and will be kept completely confidential.*

YesNo
I agree to participate fully in the retreat activities and respect the guidelines and rules set forth by the organizers.*

YesNo
Additional Comments or Questions
Should be Empty:

Ministry Leaders

Church Information

Emergency Contact Information

Retreat Expectations

Personal Reflections

Health and Dietary Information

Pricing

Logistical Information

Consent and Agreement