Spiritual Direction Intake Form

Spiritual Direction Intake Form

Nouwen Legacy Associates (NLA)
We know how important yet arduous the search for the right spiritual companion for our journeys can be. We have a community of qualified directors we can potentially pair you with, and our goal is to grow this network of spiritual directors as the Holy Spirit brings them to our awareness.

If you currendly do not have any direct access to a spiritual director in your area and are seeking one who can do direction via email, phone, FaceTime or Zoom, feel free to fill out our intake form below. We will get back to you within a few days, after discenring whether we may be a good match for you.
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Age
Gender

MaleFemale
Marital Status

SingleMarriedSeparatedDivorcedWidowed
Please answer the following questions to help us pair you with a spiritual director
Have you ever been in spiritual direction before? If so, please describe briefly your experience.
Are you willing to have a converwsation via phone, email, Facetime or Zoom? (Face-to-face conversations can potentially be matched if geographically feasible.)
Share with us a little about your spiritual journey and where you find yourself at this juncture.
What are you hoping to receive from being in a spiritual direction relationship?
How would you describe your current prayer life?
Please indicate if you are in any kind of counseling or therapy right now as well as any medical conditions or medications you are taking that might help a spiritual director understand your current journey. We ask you to consider sharing any other vital information relevant to your spiritual care at this time (e.g., depression, trauma, bereavement, addiction treatment, etc.) as you are comfortable.
From our current list of Recommended Spiritual Directors, do you have a personal preference with whom you might want to work?
Optional: Feel free to express anything else below (a question, concern, clarification or any remark) that you wish for us to know.
Should be Empty:

Please answer the following questions to help us pair you with a spiritual director