2 Year Program Application - Center for Prophetic Imagination

This is the application you fill out if you want to participate in the entire 2 year cohort. You are also free to apply to each intensive and course individually (except for the final intensive Discerning Life Amidst Death, which is only open to those who have completed every other intensive and course. To apply to an individual intensive, visit the course overview page and select the course you’d like to apply for.

The application deadline for the full two year cohort ~~is May 1, 2019~~ has been extended to July 31, due to cancellations.

Name *

First

Last

We want to know what pronouns you prefer to be called. What are your preferred gender pronouns? Examples: she, he, they

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Email *

Do you have any dietary restrictions?

How did you learn about this program?

Discernment Questions

What is it about our 2 Year Program in Prophetic Spirituality that appeals to you? *

What makes this the right time in your life to participate in this program? *

Some of our intensives involve encounters with nature. Are you able to move over uneven terrain in a wilderness setting? *

Financial Matters

Please take a look at the information listed on our Tuition/Fees page.

Are you able to pay the listed sliding scale amount? *

Yes
No, I need additional assistance.

How will you be paying?

In one lump sum before beginning the program (payment is due July 1).
In two installments. One on July 1, 2019 and one on July 1, 2020.
I would like to arrange a monthly payment plan.

Please list two references, including their contact information and the nature of your relationship.

It is important to us that you read through all of the information about the program before applying, *

I have read through all of the materials provided on this website regarding the Certificate in Prophetic Spirituality.

I have read and agree to the policies and procedures listed via the link below. *

I agree.

Click here to read our policies and procedures.

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