C2027 CSM Application Form

Program Application

Provided by Holy Family School of Faith Institute
Thank you so much for your interest in the Catholic Spiritual Mentors Program!

We are no longer accepting applications at this time.

We will be forming another cohort in the future! If you are interested in taking the first step in this process click here for more information.

Full Name*

First NameMiddle NameLast Name
First name you prefer to be called*
Maiden Name (if applicable)
Maiden Name
MaleFemale
Date of Birth*

MonthDayYear
Date
Mobile Number*
Phone NumberFormat: (000) 000-0000.
Secondary Phone
Phone NumberFormat: (000) 000-0000.
E-mail*
Please make sure your email address is entered correctly.
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Marital Status*
Occupation (If retired, please write: [former occupation] - retired.) *

I understand that if accepted into the Catholic Spiritual Mentors Program, I am expected to:
- complete the required pre-requisite distance learning courses prior to each of the in-residence sessions.
- have a spiritual director/mentor during the program and upon completion of it with whom I am meeting regularly (monthly). If I don't have a spiritual mentor for a period of time, I will inform School of Faith to discuss my plan, e.g. asking SoF to help match me with someone, requesting an interim spiritual mentor or asking a Spiritual Mentor that I know.
- be faithful to the teachings of the Magisterium of the Roman Catholic Church.
- maintain confidentiality with regard to the practice mentee* during the program and upon completion of it.
- exercise prudence before, during, and after the practice spiritual mentorship sessions with the practice mentee. This includes:
  - not offering spiritual mentorship to persons of the opposite gender.
  - not consuming alcohol during the spiritual mentorship session.
  - not offering spiritual mentorship to minors**.
- understand that this Code of Conduct is subject to change.
  ______________________________________________
*“Practice Mentee” refers to the individual currently receiving spiritual guidance from a mentor-in-training, offered as part of the trainee’s learning and development.
**The Catholic Spiritual Mentors Program is not designed specifically to equip you to offer spiritual mentorship to minors. To do this, you will need additional child protection training, for example, Virtus Training.
Yes, I agree to adhere to the Code of Conduct

I will pay by credit card by completing the form below.I will pay by check. (Please mail check to School of Faith, 13240 Craig Street, Overland Park, KS 66213, ATTN: Stephanie Jacobson)

If you don't have time to complete the form, click the Save and Finish Later button below. You also have the option to Print this Form for your records; however, you will be emailed a copy of your submission.

Don't forget to "Submit" your form!
Please verify that you are human*
Should be Empty:

Program Application