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* 1. Name

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* 2. Address

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* 3. Preferred phone

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* 4. Email address

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* 5. Are you a trained spiritual direction supervisor?

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* 6. Name, location and duration of your supervision training program.

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* 7. Year you completed your supervision training.

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* 8. Please provide a brief description of your supervision training program.

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* 9. Did your training include preparing written supervision cases for individual supervision?

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* 10. Do you provide supervision

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* 11. Please indicate the type(s) of supervision you offer:

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* 12. How long have you been active in your supervision ministry?

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* 13. Is there anything else you'd like us to know about you or your supervision ministry?

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