Apply Haden Institute Application Select Course(Required) Spiritual Direction Dream Work Select Format(Required) In-Person Virtual Select Start Date Spiritual Direction – In-Person April 3-7, 2025 Spiritual Direction – Virtual (Fall 2025) Spiritual Direction – In – Person Fall (September 11 -15, 2025) Select Start Date Dream Work – In-Person February 13-17, 2025 Dream Work – Virtual (Fall 2025) Dream Work – In – Person August 21-25, 2025 Name(Required) First Last Email(Required) Enter Email Confirm Email PhoneDate of Birth MM slash DD slash YYYY Gender(Required) Female Male Non-binary Other Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Emergency Contact Name(Required) First Last Emergency Contact Phone(Required)Emergency Contact Relationship(Required)Spouse, sibling, friend, etc.What do you do for a living?(Required)Please select the option that best describes you(Required)ClergyTherapistNone of the abovePlease share any health information of which we should be aware during intensivesWhat is your religious affiliation?(Required)Denomination, religious order, pagan, spiritual but not religious, etc.In 200 words or fewer, please share where you are in life right now and why this training is appealing to you.(Required)Where did you hear about us?(Required)Online searchWord of mouthAdvertisementSocial MediaCounselor of spiritual directorEmail marketingBrochure or flyerSDIWe appreciate your letting us know where you heard about us. It helps us be effective in getting the word out about the good work we all do here together.Where was the advertisement published, whether online or in print?(Required)Spirituality and Health print magazineSpirituality and Health email marketingFacebook adEpiscopal News Service online adSDI Connections newsletterSDI Presence JournalConsent(Required) I agree to the Haden photo and video release.From time to time the Haden Institute may use images, sound or video recordings for communications and advertising to former, current, and potential program participants in printed advertising materials, on our website, on social media, and in email messages. By participating in a course with the Haden Institute you recognize that your own image or a recording of your voice or video of you may make its way into those materials. It may be clipped or edited in some way to fit the material in which it appears, and you will not be compensated for its use beyond the benefits you naturally receive from participating in the course. If for any reason you do not wish to have your image or voice used in our materials, please email office@hadeninstitute.com with your request.Total Credit Card(Required)
