Application for Advanced RW Shepherd Certificate Program

Date of Application
MM slash DD slash YYYY
Personal Information
Name
First Last
Email
Date of Birth
MM slash DD slash YYYY
Date you completed RW Shepherd Certificate Course
MM slash DD slash YYYY
If you have already completed the requirements for the RW Instructor Certificate, you may complete the requirements for the Advanced RW Instructor Certificate simultaneously as part of the Advanced RW Shepherd course. Do you intend to do this?
- No
- Yes
Date you completed RW Instructor Certificate Course
MM slash DD slash YYYY
Describe five or more ways that RW360 training has improved your ability to serve and lead other people
Write a brief essay explaining why you want to pursue Advanced RW Shepherd training
Are you planning to complete the optional training to earn an Advanced RW Instructor Certificate?
- Not at this time
- Yes
- I'm not sure. I need more information
What are some of the venues where you plan to teach relational wisdom or peacemaking?
Please provide any other information that would help us to assess your qualifications and calling to be an Advanced RW Shepherd
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Personal Information