Spiritual Director Member
Annual Member Agreement

This form must be submitted each year by member directors, updating your information and renewing your partnership with Bread of Life.

Personal Information

Name

First Name

Last Name

Mobile Phone

(###)

###

####

Home Phone

(###)

###

####

Preferred method of contact by BOL:

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name and phone number to call in case of an emergency.

Special Areas of Interest related to Spiritual Direction that can help in the referral process:

If you would like your bio to be updated on the website, please describe/write changes here:

Membership Requirements

Spiritual Direction

Director's Name

First Name

Last Name

Frequency of Meetings

Supervision

Supervisor's Name

Frequency of Meetings

Liability Insurance

Policy Number

SDI Ethical Guidelines

I have read the Spiritual Directors International guidelines for ethical conduct and express my intention to follow these principles in my spiritual direction practice.

Professional Development

You are strongly encouraged to pursue ongoing learning and development opportunities. Please list those activities you have attended over the past year, related to the practice of spiritual direction or the development of your personal growth:

Membership Fee

Each month, you will submit a log of your SD-related activities as well as a check for fees and/or donations.

Signature

I have reviewed and am in agreement with the above Membership Requirements.

Please sign your full name:

Spiritual Director Member Annual Member Agreement

Spiritual Director Member
Annual Member Agreement