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Contact information and demographics

Legal name:

Preferred name:

Email address:

Preferred phone number:

Complete address:

Pronouns:

If you’re willing, please indicate your gender:

Race, ethnicity and/or racial identity:

Professional roles

Denomination or religious identity:

What denomination or religious organization and region are you a part of?

What is your credential?

License, ordination etc.

When were you credentialed?

Are you a member of a church, religious organization etc.?

If so, please list the organization name, region, city, and state.

What is your educational background?

Undergraduate, graduate work etc.

What is your background with spiritual practices, meditation or grounding?

Participation and availability

Level of participation

Our expectation is that participants attend every session and complete all reading materials in preparation for each session. We understand that unexpected life events arise and will work to accommodate participants as necessary. However, we do ask at the outset that participants commit to attending every session. Are you able to participate in the dates/events/schedules listed for this cohort - both online and in person?

What is 6+3?

Please enter a numeral. This helps confirm you are a human respondent.