Your Name *

First Name

Last Name

Your Mobile Phone *

(###)

###

####

Are you an ordained minister? *

Yes

No

Full or Part time salaried position? *

Full time

Part time

Volunteer

Emmaus Clergy Training *

Have you already completed the Emmaus e-learning course for Spiritual Directors?

Yes

No

Which Emmaus Clergy Talks Have You Previously Given *

Prevenient Grace

Justifying Grace

Means of Grace

Obstacles to Grace

Sanctifying Grace

None yet

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you up to date on covid vaccines? *

Yes, I'm fully vaccinated

No, I won't be vaccinated

Can't answer this. See my comments below

Signature *

I agree that the statements and completion of this application are true to the best of my knowledge. If this application leads to acceptance, I understand that providing false or misleading information in my application or interview may result in my release. Any changes to credentials warrants a new Clergy Application.

My Info is accurate and I request to work