Spiritual Directors International Member Profile Update

To update your membership profile information, please fill in the form below. For example, use this Web-form to change your mailing address for receiving the Presence journal, or to change your email address, etc. Once you click 'Send' at the bottom of the page, your information will be sent and the form will be cleared. Please review your information before you click 'Send.'

NOTE: Please only fill in this form if you are a member or are just becoming a member through our Web store. If you would like to become a member, you can do so in our Web store or by mailing the office your Membership Order Form. To renew your membership, please click here.

How did you hear about Spiritual Directors International?
Member Number	Helpful but not required. By providing this information you save the office time and expense. The number is on the address label of our latest mailing to you, including the Presence journal.
Display in Seek and Find Guide?	The Seek and Find Guide is a listing of available spiritual directors. If you are not available for spiritual direction, we recommend that you not list yourself.
My contact information has changed.	Yes No
Title
First or Given Name
Middle Name
Family or Last Name
Suffix*
* what do the suffix letters mean?
Spiritual Affiliation	Below is the address for Presence journal delivery
Other Affiliation (if not listed above)	Limit to 33 characters to avoid cut-off in the Seek and Find Guide
Address Line 1
Address Line 2	(Street, PO Box, etc.)
City
State/Province/Territory/County
Zip (Five digits)	USA only
Zip + 4 (Four digits)	USA only
International Postal Code
Country
Home Telephone	Example: xxx-xxx-xxxx, Please use dashes - , & not slashes / or ( ).
Telephone for Seek and Find Guide	This will not be displayed if you opt out of the Seek and Find Guide. Example: xxx-xxx-xxxx, Please use dashes - , & not slashes / or ( ).
Mobile Phone	Example: xxx-xxx-xxxx, Please use dashes - , & not slashes / or ( ).
E-mail
Birth Month
Birth Day
Birth Year	Example: 1945
	Please do not send me information from other spiritual organizations and publications.
Religious Status
Spiritual Director Status	(You do not need to be a spiritual director to benefit from the educational resources of Spiritual Directors International. Spiritual Directors International is not a credentialing organization.)
Personal Status
Gender
Graduate of Enrichment, Formation, or Training program
Geographic Location
Date of completion or year of certificate	This is to help alumni network with one another.
Year of start of ministry
Are you available for spiritual direction?	Yes No
In what setting do you currently provide spiritual direction?	(ie: spiritual center, hospice, prison...)
Within which of the following contexts/ cultures do you have experience providing spiritual direction?	Addicted African Cultures Asian Cultures Hispanic Cultures Native Cultures Retreat Center Group Spiritual Direction Immigrants/Displaced Energy Work/Non-traditional Healing Clergy, Religious Corporate/ Workplace Chaplaincy Disabled Incarcerated Ignatian Retreats Divorced / Widowed Gay / Lesbian Dying/Sick/Hospice Grief and Loss Physical or Sexual Abused Letter Writing/E-mail Homeless/Low Income Mental Illness/Depression/Suicide Seekers without a Spiritual Affiliation Couples/Families Young Adults Children/Teens Elderly/Mature Women's Issues Men's Issues
Other
Are you involved in the enrichment, formation and training of spiritual directors?	Yes No
If Yes, in what capacity?
Are you available as a supervisor for other spiritual directors?	Yes No
Where did you receive your training to provide supervision?
What languages do you know well enough to offer spiritual direction?	English Spanish French Chinese Cantonese Chinese Mandarin Danish Dutch Filipino German Japanese Korean Sign Language for the deaf Vietnamese
What volunteer help would you like to share with Spiritual Directors International?	Artwork Data Entry Editing Event Planning Grant Writing Mailing Networking/Phone Proofreading Public Relations Reviewing Books Speakers Bureau Web site Maintenance Writing N/A
Other volunteer help:
Additional Comments

Mail or Fax Membership Update Form

If you would rather mail or fax our office your update form, please click 'Membership Profile Update Form' below to download the form for printing.

(If you are unable to open the PDF, you may need to download Adobe Acrobat Reader software by clicking the Adobe Reader icon below.)

Spiritual Directors International
PO Box 3584
Bellevue, WA 98009-3584
Fax: 425-455-1566

SDI-Membership-Profile-Update-Form.pdf

8/14/2006 11:53 am

101 kB

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