Spiritual Direction Application

Conscious Dynamics™
Spiritual Direction Application

Application for Spiritual Direction

Please provide some basic information through the form below.

To read more about Spiritual Direction see Spiritual Direction on this website. For the current policy statement which you need to mail in before your first session is scheduled see the Policy Statement

Name
Street Address or P. O. Box
(Apartment Number)
City/State-Province/Zip
Country
E-mail Address
Web Site URL (if any)
Telephone # (include area code)
Place of Employment
Occupation
Birthday
I am : Single Married Divorced Separated Widowed Clergy Religious
Religious body/church affiliation:
I am interested in working with Mary:	one on one with a group both one on one and as part of a group

How much time do you give (on the average) to your inner life (e.g., prayer, meditation, journaling, silence, study, dream work, etc.)? Explain briefly below:

What is your previous experience with spiritual direction, counseling, or therapy? Describe below.

Do you have a physical or psychological health problem Mary should know about? If so, please explain below:

What is your motivation for seeking spiritual direction at this time? Please explain below:


I understand that Mary Rees is a Spiritual Director and a Meditation Teacher - not a therapist. She will support me in my personal process of unfoldment; however, it is my process that guides our work. I am free to accept or reject any suggestions she makes. I will be open to the process and trust my own heart to know what is true.