Name
Email
Phone
How did you hear about this program?
Mailing address
What is your history with the study of emunah?
What is your history with the practice of emunah?
How long have you been practicing Jewish meditation and personal prayer? (years / months)
What are you doing professionally right now?
What trainings and studies have you done that relate to this Emunah Therapy program?
What is your long-term career goal, and how will it incorporate Emunah Therapy?
Résumé — paste a link (Google Drive, LinkedIn), or note that you will email it
Do you have a regular rabbi? If so, their name
Your rabbi's phone
Your synagogue
If you do not have a regular rabbi, why not?
Do you have a mentor (mashpia)?
Reference 1 — name and contact
Reference 2 — name and contact
Reference 3 — name and contact
Why do you want to be in this program?
What led you to want to do this program?
How do you plan to use your certification?
What is your perspective on how Torah, spirituality, and therapy go together?
Who have been your biggest influences on the way you look at faith and self-development?
What are the top three books or articles you have studied that mean the most to you, and why?
What impact do you hope to make in the world with your current and future skills?
What else would you like us to know?
Any concerns or questions?
Are you ready to fully commit to the study, complete all the assignments, and practice everything the program asks of you?
Do you have five to ten hours a week to dedicate to the program, in addition to class time?
I understand there is a $25 nonrefundable application fee (payment instructions will follow)
Submit
