Spiritual Director Connection Form

Innovation Center: Spiritual Director

Connection Request Form
Name*

First NameLast Name
Email*
example@example.com
Preferred phone number*
Please enter a valid phone number.
Can this phone number receive text messages?*

YesNo
Are you a*

Church memberChurch leaderClergy/Paid Staff personNot involved in a church right now
Are you a (pick all that apply)

Enrolled in a United degree programIn a United certificate programI’m a United graduateI have participated in Innovation Center webinars/trainingsNo previous connection with United/the Innovation CenterOther
What is prompting you to connect with a trained spiritual director, or what might you be seeking to spiritually discern through this connection? (Explain here, in up to a few sentences)*
PLEASE carefully review/read this "Statement of Understanding" about the expectations of Spiritual Direction, to ensure this is what you seek.
I have read and understand the "Statement of Understanding"*

Yes
A potential spiritual director connection will be made, according to the Innovation Center’s spiritual director team’s availability and schedule capacity.

If you would like to continue with your Spiritual Director connection request, press "Submit" below.
Should be Empty:

Innovation Center: Spiritual Director