Dear Applicant:

This application for the Wednesday Session of the 2018-2019 Spiritual Exercises of St. Ignatius will help us learn about you. The application will be reviewed by a member of our team. There are only spaces for 6 participants, and not everyone who applies will necessarily be accepted.

Application Fee: Applicants for the Wednesday session will receive a link to pay the $50 application fee.

Program Cost: The cost for this program is $1,000, which does not include the $50 nonrefundable application fee.

Program Session:
This application is for the new Wednesday session of the Spiritual Exercises.  Zoom calls will take place on Wednesdays and  retreat days will take place on Tuesdays

Please Complete: We suggest that you write and save the longer responses on your own computer,  then cut and paste them into the application. When you've finished entering responses into this form, click the DONE button to complete the submission. If you need to amend your application, send an email to

Application Deadline: Submit your application no later than August 20, 2018, 6:00 pm PDT.  The application period may close earlier if all 6 spaces are filled. 

After Completing the Application: Mercy Center staff will contact all applicants and send the program fee payment link to those applicants who are accepted into the program. 

Thank you for your interest in Mercy Center’s Spiritual Exercises of St. Ignatius.

First Name

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* 1. First Name

Last Name

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* 2. Last Name

Home Street Address

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* 3. Home Street Address

City, State and Zip Code

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* 4. City, State and Zip Code

Best Phone Number

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* 5. Best Phone Number

E-Mail Address

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* 6. E-Mail Address

Your Age

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* 7. Your Age

Your Gender

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* 8. Your Gender

What is drawing you, at this time in your life, to commit to the St. Ignatius Exercises?
Please write only a few sentences.
Commit to Exercises

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* 9. Commit to Exercises

I attest that typing my name and the date I completed this application serves as my signature. By signing this application I further attest that this information is true and accurate, and that I give Mercy Center Burlingame permission to contact me with any questions about this information.

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* 10. Signature

Date (Mo/Day/Year)

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* 11. Date (Mo/Day/Year)