Spiritual Care Visitor Training Application

For more information, contact Tommy Rogers at 312-563-4824 or Thomas_Rogers@rush.edu.

Application for Enrollment — Spiritual Care Visitor Training 2019

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Preferred Phone Number*
Email*
Program Start Date Selection
- May 2019 Rockford, Illinois
- Summer 2019, Chicago, Illinois
- Fall 2019, Peoria, Illinois
Spiritual Information
We would like to learn more about you. Please briefly answer the following questions.
Please share briefly about a spiritual practice that you participate in that you find meaningful. A few examples might be: (prayer, reading scripture, attending worship, meditation).*
What are your perceived gifts for ministry and how would you like to utilize them at the completion of the training?*
How will your training as a volunteer spiritual care visitor contribute to your faith community?*
If you’ve had the experience of making spiritual care visits, please tell us about a visit.*
As part of the program you will be asked to engage in ministry two hours each week. Do you have ideas for this?*
Application Fee*
- Please follow link to submit your $50 application fee online. The application fee is non-refundable. A balance of $325 will be due upon acceptance to the program. Tuition is non-refundable once the training begins. You can make a payment here.
Background Check*
- Once you submit the form, you will receive a link via email from anne at astefaniak@episcopalchicago.org concerning your background check. Click the link and complete the background check information. Please email anne if you don’t receive a link within 3 days.
Electronic Signatures
Please share the name, email, and phone number of a leader from your Faith Community that can speak to your gifts for being a volunteer spiritual care visitor. By signing the application, you give us permission to contact this person.
Name of Faith Community*
Name*
First Last
Phone*
Email*
Authorization of Electronic Signature*
- I agree that this will be used as my electronic signature.
Your Name*
First Last
Date*

Spiritual Care Visitor Training Application

Application for Enrollment — Spiritual Care Visitor Training 2019

Spiritual Information

Electronic Signatures