Name(Required) Rev.Rev. Dr.Dr.MissMr.Mrs.Ms.Pastor Prefix First Last Address(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Email(Required) Home PhoneCell PhoneWork PhoneAge Range(Required) Under 30 30-39 40-49 50-59 60-69 70+ Emergency Contact Name(Required) First Last Emergency Contact Phone(Required)Church(Required)Church PhonePosition at Church(Required)Employment Status(Required) Full time Part time Interim Bivocational Retired Other Number of years at present church(Required)Number of total pastorates(Required)What interests you most about Resilience Journey?(Required)What do you hope to gain from the experience?(Required)Confirmation(Required) ConfirmationHave you checked to make sure you are available for all dates, especially for Resilience Journey retreats? (See info page) If there are scheduling conflicts, it is vital that you contact Cheryl Ann Beals.Bursaries available Are you newly ordained or soon to be ordained? (2024, 2025, 2026) Are you under 45? Sozo Resilience JourneyCoupon Total Payment Method(Required) Credit card or Debit-credit card Cheque Credit Card(Required) Please send your cheque to the CBAC office with the memo "Sozo Resilience Journey". Δ
