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Name:
Address:
City, State, Zip
Country:
Phone:_________________ (We will not call you unless it’s dire…)
Email Address:
Date of Birth:
Gender: ___ Male ___ Female
Marital Status: ___Single ___Married
___Divorced ___Too long a story for
this space
Number of Children: ___ Boy(s) ___ Girl(s)
Partners Name:
ORDINATION
Choose how you want to be Ordained (more than one is okay)
____ Spiritual Minister
____ Interfaith Minister
____ Psychic Minister
____ Esoteric Minister
____ Rabbi
Other Title (Please describe) ___________________________________
You may choose more than one title from the above list for an additional $30 fee. (Separate certificates.)
Please enter your name exactly as you want it to appear on your
Ordination Certificate:
(Most people include their middle name.)_______________________________
Why do you wish to become a counselor/minister?
Any experience as a counselor (including informal, with family or friends?)
Do you pledge to use your Counselor/Minister Status for the Service of Humanity?
Please tell us in one or two paragraphs how becoming ordained will help you in your current work.
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. Souls appear and re-appear in “families” or “soul groups”. They often follow family bloodlines — you ARE your ancestors. Past lives may be difficult to believe in, but genetic memory is very real. The things you are drawn to in life, flashbacks, and deja vu are your genetic memory nagging you. We can better help you get where you’re going if we have a complete profile of you and your ancestral background.
What religion were you raised on?
Do you still practice its ways? ____Fully ____Somewhat ____Seldom ___Never
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:
Your Occupation:
Your skills:
Hobbies, etc:
How did you hear about us? Check all that apply
__In a book
__Social Media, Twitter/X, Instagram
__Friend, Colleague, Family Member
__Discussion List or Forum
__Link from any other website (which one?)_________________________
__Search Engine Query
__Facebook
__Katia’s Esoteric Christianity Blog
__Any other source: (please describe)
Check the box next to the items you are ordering.
__The Ordination fee is $160 (includes Priority Mail shipping)
__A Second Ordination Title is $30
__Wallet ID credentials are available for $10.
__Photo Badge ID — $30(Send a passport style picture, by snail-mail or by email)
__Interfaith Minister’s Manual eBook (searchable PDF eBook) It includes ceremonies and rituals from strict Catholic to Native American. The
cost is $31 and it will be emailed to you from the Seminary.
__Check this box only if you want Rush shipping. Cost varies, depending on where you are.
Payment Methods (please put an X next to your desired method)
___PayPal (we will send you a PayPal link for your exact amount)
___Check or Money Order made payable to Esoteric Interfaith Church, Inc. and mailed to:
Esoteric Interfaith Church, Inc.
650 N. Penrod Rd. #216
Show Low, AZ 85901
Did you submit your Spiritual Biography to Seminary@NorthernWay.org?
If no, please do so after finishing this application, or include it with this application via email.
Your application will be reviewed and you will be notified immediately upon acceptance 🙂
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