AM FTC Application Form — Gestalt Pastoral Care

APPLICATION FOR:

VIRGINIA FOUNDATION TRAINING CLASS

Dates: April 24, 2022 through January 25, 2023

*applications received through 4/10/22

Led by Alexandra MacCracken, GPC Minister & Trainer and Rev. Susan Vande Kappelle, GPC Minister

For more information please contact alexandra.maccracken@gestaltpastoralcare.org

Name

First Name

Last Name

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

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Thank you for your interest in learning the healing art form of Gestalt Pastoral Care. We would like to give you the opportunity to tell us more about yourself in the questions below. *EXPERIENCE WITH GESTALT PASTORAL CARE: Please write several paragraphs describing your familiarity with Gestalt Pastoral Care, any classes or retreats you have taken, and any personal work or reading you have done. We’d also welcome hearing a bit about your spiritual and professional journey.

What draws you to this course?

LETTERS OF REFERENCE: Please have 3 letters of reference sent to: Alexandra MacCracken: alexandra.maccracken@gestaltpastoralcare.org. *Please list the names and contact information for your 3 references: 1. 2.. 3.

Once you click on the submit button your application will be reviewed and Alexandra will be in touch with you. Thank you for your interest - Blessings to you.