Intentional Spirituality Application

Thank you for your interest in Intentional Spirituality: Finding Our Way Back.

Please fill out this application with as much information as possible; so that we can evaluate if this cohort is the right fit for you. The application deadline is October 30, 2025.

After your application is complete, we will reach out to you with next steps no later than November 15. Please note, this application is the beginning of an admissions process that may include a virtual face to face conversation.

If you have questions about the Admissions process, please email Iyawo Eguntoyebi at chanee@intentionalrelating.co.
Application

Basic Info
Full Name*

First NameLast Name
What would you like to be called in cohort spaces? *
Pronouns*
eg: she/her, he/him, they/them, ze/zir
E-mail*
example@example.com
Cell Phone Number*
What city do you currently live in?
What are your social media handles? (Instagram, FB, TikTok- wherever you are most active)
Place/Manner of Employment:
Occupation:
Work Location- Home, Office or Hybrid
Are you Black?*

YesNo
What is your ethnic background? For example: Afro- Caribbean, Afro Latinx, African American, etc *
Upload a picture of yourself.

Cancelof

Your Spirituality
Where are you on your spiritual path? *
Do you currently identify with a religious or spiritual designation? (Also, feel free to share how/ if this differs from the spiritual atmosphere in which you were raised) *
Are you a practicing Hoodoo?*

YesNo
Are you currently deconstructing?*

YesNo
Have you chosen an ATR/ ADR (African Traditional Religion/ African Disaporic Religion) path?*

YesNo
If so, which one?
Are you connected to anyone involved in this cohort? (One of the teachers, another applicant, etc) If so, share any connection here! :)
Disclaimers & Signature
Please understand that any information divulged here is held in strict confidentiality, and will be used *only* to determine your admission into this cohort.
Signature*

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Date*

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Date
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Application