Rabbi Application

Rabbi Application

(This information is kept completely confidential)

Personal Info: Name:
Address:
City: State:
Zip: Country:
Phone: (we will NOT call you unless it's dire...)

E-mail Address (Please type carefully):


Type your email address again:


Date of Birth:


Gender: MaleFemale


Marital Status:SingleMarriedDivorcedToo long a story for this space


Number of Children:Boy(s) Girl(s)


Partner's Name:


Choose how you want to be Ordained (more than one is okay):
Spiritual MinisterInterfaith MinisterPsychic MinisterEsoteric MinisterRabbi


Other Title-- Please describe:
You may choose more than one title from the above list for an additional $20 fee. (Separate certificates.)


Please enter your name exactly as you want it to appear on your Ordination Certificate: (This is a formal document, you SHOULD include your middle name spelled out)








Member Profile

The following questions are somewhat optional, but we encourage you to answer them because they help us build a picture of you and what has made you the person you are. We can better help you get where you're going if we have a complete profile of you and your spiritual background.

What religion were you raised on?
Do you still practice its ways? FullySomewhat SeldomNever
How does your immediate family feel about your chosen spiritual path? Opposition? Approval?

Please check any of the following areas you have studied or "dabbled" in:

Kabbalah Esoteric Christianity Runes Rosicrucians
Gnosticism Wicca or Earthbased Trads Angels Judaism
Buddhism Ceremonial Magick Tarot Enochian
Goddess Apocalyptic/ Prophecy studies Druidry Vedanta/Hinduism
Other areas of study not listed above:

Please list the subjects above that you are most interested in learning MORE about:

More about you Your occupation:
Special Skills:
Hobbies, etc.?
How did you hear about us? In a book Bride or Groom who asked me to perform their marriage
Friend, colleague, family member Discussion List or Forum Link from any other website
Search Engine QueryFacebook Katia's Esoteric Christianity Blog Other source: (please describe)

Please tell us in one or two paragraphs how becoming ordained will help you in your current work.

Did you submit your Spiritual Biography to the Seminary?

YesNo If no, please do so after finishing this application. (Be sure to include your name)

Please check the box next to the items you are ordering.

The Ordination fee is $156 (includes Priority Mail shipping)A Second Ordination Title is $20Wallet ID credentials are available for $10.Photo Badge ID -- $15 (please email the seminary a passport style picture)Interfaith Minister's Manual. It includes a variety of ceremonies and rituals from strict Catholic to Native American. The cost is $31, which includes Priority Mail shipping. Currently on Back-Order, but we will have an online version available soon which you can access free if you pay for the Manual now.Check this box only if you want Rush shipping. Cost varies, depending on your location.

Payment Methods

You may pay online using credit card or your checkbook via PayPal after submitting this application.
After you click on "Send Now," you will be taken to our Shopping Cart Page where you can choose which items you want.

If your computer browser doesn’t like the Send Now button above, you may send your application by choosing an option below:

OPTION (1) Go to this Email Friendly version of the Application. You can copy and paste it into an email to the Seminary.

OPTION (2) Print this page, fill in by hand and snail mail to:

Esoteric Interfaith Church, Inc.
650 N. Penrod Road, Suite 216
Show Low, AZ 85901

OPTION (3) Copy and paste the above application into an email and send to us at the Seminary
Then please go to the Shopping Cart Page to choose your items and make your payment.

Skip to toolbar