First Name
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Last Name
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First and Last Name of the Applicant you are providing a reference for:
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Your Email
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Our organization is only for Women of Color, Queer and Non-Binary People of Color. Does the applicant fit this demographic?
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Yes
No
Can we contact you if we have further questions about your responses?
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Yes
No
How do you know the applicant?
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How long have you known the applicant?
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Please rate the applicant in the following areas
The applicant is sought out by others for care and support (1=Never, 5=Frequently)
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1
2
3
4
5
The applicant is good at listening to others (1=Not true at all, 5=Very true)
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1
2
3
4
5
The applicant is able to be with others in a non-judgmental and open posture. (1=Not true at all, 5=Very true)
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1
2
3
4
5
The applicant has the time and energy to commit to a 9-month training program
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Yes
No
Unsure
Why do you think the applicant would be a good spiritual director/practitioner? What strengths does the applicant have?
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Do you have any concerns about the applicant becoming a spiritual director?
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Is there anything else you think we should know about the applicant?
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