• Please fill in this form
• email it to Rita Briscoe  Ritakbriscoe@btinternet.com
• Then ring Rita Briscoe , Referrals Secretary on 07425179775

If you would like to open it as an attachment please click the link at the bottom of the page.    

                                                                                                CONFIDENTIAL

Date   

Name and address:       

 

 

Email                                                                          Phone:                                                                      

Age:                Church attended:

 

 

How did you come to contact us?

 

Married?                                Children?

 

Occupation:

 

Ordained?                                         Reader?                                 SPA?

 

Car/public transport?          

 

Daytime/ evening/ weekend availability?           

 

Had a director before?  If so, how was it for you?

 

 

What would you hope to get from sp.dir., what are you looking for?

Are there things that specially interest you in the areas of theology/ spirituality/ ministry/ prayer?         

 

 

 

 

 

Preference for male/ female?                                            Ordained/ lay

 

How important is churchmanship/ denomination?                  

 

 

 

 

What are your interests outside your working life? 

Or anything else which might help us?