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Application for Chevrah

 

Thank you so much for your interest in the Chevrah Program: Professional Development and Networking for Mussar Facilitators.

Section 1: Basic Information

By completing the information below you agree that this information will be used in a Chevrah Membership Directory for use exclusively by members to further connections with each other.

How did you hear about Chevrah? (Drop Down)

Other (Please explain)

First Name (required)

Last Name (required)

Street/Apt (required)

Address2

City (required)

State (required)

Zip/Postal Code (required)

Country (required)

Mobile Phone (required)

Home Phone

Office Phone

Your Email (required)

SECTION 2 – Facilitation Background

We would like to know a little about you so we can support you more effectively in our professional development offerings. This information is private and not shared with third parties.

How many miles away from the nearest large city do you reside? Please specify the name of the large city. (required)

Please briefly share below any prior experience you have had facilitating groups (whether Mussar-oriented or not), the context in which you were facilitating (for example, The Mussar Institute, synagogue, campus group, Jewish community center, etc.) and what you consider to be your strongest facilitation skills. (required)

When is the last time that you facilitated a group?

What, if any, formal training have you received in group facilitation?

Which TMI Mussar courses, if any, have you completed? (Hold down the SHIFT or CTRL to select more than one. (required)

What are your goals for being a member of Chevrah? (required)

What is your knowledge of the following subjects on a scale of 0-3:

0 = No prior knowledge; 1 = Beginner; 2 = Intermediate; 3 = Advanced

General Mussar Knowledge 0123

Mussar Text & Writings 0123

Mussar Practice 0123

Jewish Philosophical Thought 0123

Hebrew Language 0123

Do you foresee any obstacles or limitations to your participation in online conferences?

If you answered Yes, please describe below

Do you plan on leading a Mussar va’ad in the next 12 months?

If yes, please indicate when and what type of Mussar Va'ad(im) you plan to facilitate.

Are you interested in an additional option for individual supervision?

TMI welcomes all religious seekers. If your primary affiliation is to a religion other than Judaism, or if you do not have a religious affiliation, please note your spiritual orientation here.

We welcome any additional information that will help us get to know you better. (This might include hobbies, interests, skills, professional experience)

Questions or comments:

Anything else you feel we should know?

Annual Dues:
$36 for TMI-trained facilitators
$54 for all others with completion of application below

We hope your involvement will help strengthen the practice of Mussar worldwide.

 

© 2017 The Mussar Institute
 

7605 Old York Rd., Suite 108 | Melrose Park, PA 19027 USA | Phone: 215.635.7300 x191

 

6545 SW 133 Drive | Pinecrest, FL 33156 USA | Phone: 305.610.7260 | info@mussarinstitute.org

 


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