1
1
Application Form
–
Franciscan University of Steubenville School of Spiritual Direction page
FRANCISCAN UNIVERSITY OF STEUBENVILLE
SCHOOL OF SPIRITUAL DIRECTION
APPLICATION FORM
All of the following information is kept strictly confidential
D
ATE
:
/ /
N
AME
S
TREET
C
ITY
S
TATE
Z
IP
P
REFERRED PHONE
SECONDARY PHONE
P
REFERRED
E
MAIL
☐
Married
☐
Single
☐
Male
☐
Female
☐
Consecrated
☐
Priest
☐
Deacon
DOB
/ /
E
MERGENCY
C
ONTACT
P
ERSON
R
ELATIONSHIP
P
REFERRED PHONE
SECONDARY PHONE
E
MPLOYMENT
I
NFORMATION
O
CCUPATION
ADDRESS
P
HONE
A complete application will include:
□
This completed application form
□
Letter from Pastor (or Superior; Parish pastoral worker)
□
Letters from two references (including spiritual director,
if applicable )
2
2
Application Form
–
Franciscan University of Steubenville School of Spiritual Direction page
E
DUCATION AND
R
ETREAT
E
XPERIENCES
Type of School
School
name/location
Program Title
Duration
Degree, Diploma,
Certificate received
College or
University
Other Education
Spirituality
workshops
Scripture or
Theology
Education not
listed
H
EALTH
DIETARY CONCERNS/SPECIAL NEEDS:
D
ESCRIBE YOUR PSYCHOLOGICAL AND PHYSICAL HEALTH
. P
LEASE NOTE ANY
MAJOR DIFFICULTIES IN TH
E PAST OR PRESENT
,
AND INDICATE ANY HELP YOU ARE
RECEIVING FOR THEM
:
_
D
IOCESE
/E
CCLESIAL
A
FFILIATION
/R
ELIGIOUS COMMUNITY
PARISH/RELIGIOUS COMMUNITY NAME & ADDRESS
3
3
Application Form
–
Franciscan University of Steubenville School of Spiritual Direction page
P
ASTOR
/S
UPERIOR
P
HONE
My pastor/superior has agreed to write a letter of recommendation.
S
PIRITUAL
F
ORMATION
:
Are you currently receiving spiritual direction? Yes/No
L
ENGTH OF
T
IME
U
NDER
S
PIRITUAL
D
IRECTION
S
PIRITUAL
D
IRECTOR CONTACT INFORMATION
:
N
AME
E
MAIL
P
HONE
☐
I have contacted my spiritual director about this application. (if applicable)
☐
I have requested a letter of recommendation from my spiritual director. (if applicable)
☐
I have requested permission to apply from my Religious Superior. (if applicable)
OTHER REFERENCE:
The following person (other than pastor, superior or spiritual director) can also
attest to my relationships with others and the Church:
N
AME
:
S
TREET
:
C
ITY
: S
TATE
Z
IP
PRIMARY PHONE:
EMAIL:
RELATIONSHIP:
H
AVE YOU COMPLETED THE
S
PIRITUAL
E
XERCISES OF
S
T
. I
GNATIUS IN EITHER A
30-
DAY
, 19
TH
A
NNOTATION
(30
WEEKS
)
OR AN
8-
DAY RETREAT FORMAT
? I
F SO
,
BRIEFLY
D
ESCRIBE WHEN
,
WHERE
,
AND YOUR EXPERIENCE OF THE
S
PIRITUAL
E
XERCISES
.
4
4
Application Form
–
Franciscan University of Steubenville School of Spiritual Direction page
SPIRITUAL AUTOBIOGRAPHY
Please complete the following questions on a separate page. Please do not exceed
more than five paragraphs for each question.
A.
What are the major duties/commitments in your life right now? How are
these going?
B.
Who is God to you? How do you become aware of his presence? Briefly
describe your pra
yer.
C.
Describe your experience of receiving spiritual direction and your
understanding of spiritual direction.
D.
Explain at length why you feel called to the ministry of spiritual direction,
and what has led you to this sense of call? What communal support are you
receiving to undertake this tr
aining?
E.
What signs and personal gifts do you recognize as evidence of your call to
this ministry? Have others confirmed these gifts?
F.
What areas are you most in need of growth to serve in this ministry?
G.
Briefly describe your spiritual journey from childhood to present.
ACKNOWLEDGEMENT:
I
CERTIFY THAT THE ANSWERS GIVEN BY ME IN THIS APPLICATION ARE CORRECT TO THE BEST
OF MY KNOWLEDGE
. I
UNDERSTAND THAT MY FALSIFICATION OF THIS APPLICATION
,
WHETHER
WILLINGLY OR ACCIDENTAL
,
IS GROUNDS FOR DISMISSAL FROM THE PROGRAM IF
I
AM
ACCEPTED
. M
Y SPIRITUAL DIRECTOR AND
I
HAVE DISCUSSED MY READINESS FOR THIS PROGRAM
,
AND WE HAVE TOGETHER DISCERNED A CALL TO SERVE OTHERS AS A SPIRITUAL DIRECTOR
.
A
PPLICANT
’
S
S
IGNATURE
D
ATE
SEND YOUR COMPLETED APPLICATION AND INFORM YOUR REFERENCES TO
FORWARD ALL INFORMATION TO THE FOLLOWING
:
Robert Siemens
School of Spiritual Direction
Franciscan University of Steubenville
1235 University Boulevard
Steubenville OH 43953
Phone: 740/283-6277
ELECTRONICALLY:
Email: SSD@franciscan.edu (with attachments)
