Mentors Signup – Spiritual Paths Institute

Certified Advanced ISM Facilitator & Mentor Application and Registration Form

Application
If you wish to become a Certified InterSpiritual Mentor or ISM Facilitator, please fill out the following form.
Application type*
- Advanced ISM Facilitator
- Mentor
Personal Information
Name*
First Last
Email*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Spiritual, Religious, Meditation, and Education Background
Your Present Spiritual Practice(s)*
Your Primary Teachers or Spiritual Traditions*
Religious, Spiritual, or Meditation Background*
Education*
Professional Certificates or Certifications
Your ISM Course Dates (most recent if more than one)*
MM slash DD slash YYYY
Your Mandala Course Dates
MM slash DD slash YYYY
References (2)
Who can speak on your behalf.
Name #1*
Title
Relationship*
Email*
Name #2*
Title
Relationship*
Email*
Experience
Your Work Experience? (250 words or less)
Your intention for taking this course? (250 words or less)*
Your definition of InterSpirituality? (250 words or less)
How will you apply this work? (250 words or less)
Written Paper*
Max. file size: 50 MB.
A minimum of a 1,000 word summary or equivalent expression covering all of the seven steps and if/how you harnessed your style(s) for each. This should be drawn from the online or written journal. It will provide an initial waypoint for the upcoming meditative journey. If you already have completed a capstone paper for the Antioch CE credits, you will not need to write another.
Registration
Once you submit this form, you will be sent to another page where you will make the first of the 4 monthly payments for this course.
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Certified Advanced ISM Facilitator & Mentor Application and Registration Form

Application

Personal Information

Spiritual, Religious, Meditation, and Education Background

References (2)

Experience

Registration

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