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Please select program you'd like to apply for:*

Marriage Rekindled is a 5-day marriage retreat for couples in ministry that is designed to help you and your spouse grow closer to each other and to God. Note: This program does not include a children’s program.

MedRetreat is an 11-day counseling program specifically designed to promote the well-being of healthcare professionals, their spouses, and families who serve cross-culturally. The program includes plenary sessions on critical topics, group counseling, and personal counseling (i.e., individual and/or couple) sessions. Children and teen programs parallel the content of the adult program. Counseling may be available for children and adolescents upon request.

Renewal and Growth Retreat is a 3-week intensive counseling program designed for people in full-time ministry. The program includes wellness seminars, group counseling, and private (I.e., individual and/or couple) counseling. Children and teen programs parallel the content of the adult program. Counseling may be available for children and adolescents upon request.

Shepherd’s Way is designed for pastors and their families that takes into consideration the rhythms of church-based ministry. This program includes a 10-day stay on our campus that includes wellness seminars, group counseling, and private counseling, followed by 3 months of virtual follow-up consisting of seminars, small group meetings, and meetings with pastoral mentors. Children and teen programs parallel the content of the adult program during the 10 days on our campus.

First Name*

Last Name*

By what name do you prefer to be called?

(Robert, Bob, Robby, Junior, etc.)

Email*

Date of Birth*

Phone

Cell (Optional)

Spouse's Preferred Name

Spouse's Email*

Spouse's Date of Birth*

(Please provide a different email address for your spouse. Two separate emails addresses are required for pre-program paperwork.)

Alongside is designed for people in full-time ministry, however sometimes people connected to ministry in other ways are also appropriate for our program. Please tell us how you see your fit in our program:*

Country or Region of Service*

Employer*

Briefly describe your role and for how long?*

Employer's website (if applicable):

Primary Church Affiliation(s)*

Church's website (if applicable):

Primary Organizational Affiliation(s)*

Organization’s website (if applicable):

Other Significant Ministry Affiliation(s):

Dates of the program for which you are applying*

Anything you want us to know about your program date preference? (e.g., would you like to be put on a waitlist for any programs?)

Here are some questions to ask your insurance company: Click Here

What do you hope to gain from attending this program?*

Is any prospective participant currently suffering with suicidal thoughts/tendencies?*

If you are currently experiencing active suicidal thoughts and impulses, please contact your local emergency services (e.g., 911 in the U.S.) Please note: Alongside programs cannot provide 24/7-hour care. Alongside staff and counselors are only available during program hours. Participants are expected to keep themselves and their children safe while on our campus, especially after hours when Alongside staff are unavailable.

Is any member of your family currently behaving violently/aggressively toward other people, property, or themselves? Please answer for all who may be attending Alongside, including children.*

Have you or any member of your family ever been accused of inappropriately touching another person under the age of 18? Please answer for all who may be attending Alongside, including children*

Is any prospective participant currently experiencing symptoms of severe mental illness (e.g., highly unusual thoughts, sights, sounds, sensations) which are not under control with medication?*

Do you find yourself turning to substances (e.g., over the counter drugs, marijuana, vaping, street drugs, alcohol) or potentially addictive behaviors (e.g., Netflix™ binges, online content, eating, gaming, etc.) to cope?*

Are there any physical limitations for anyone attending we need to take note of while you are here?

Are there any other special needs/issues of which we should be aware?

How did you learn about the ministry of ALONGSIDE?

Application processing may take 1-2 weeks due to the volume of applications received. You will be contacted via email with more information once your application has been processed. Please email info@alongsidecares.net with any questions.

Program Application