Apply - Alongside

Program Application

"*" indicates required fields

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. Please Note: This couples only program does not include a children's program or childcare.

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.

Reset is a 5-day, wellness retreat that invites individuals and couples in ministry to step away and experience a restorative rhythm of life. Participants will start the day together and attend to body, mind, and spirit through times of rest, prayer, reflection, learning, and recreation. Together, the cohort will rediscover practices for cultivating a sustainable rhythm of life and ministry, while engaging with the sense of calling that led them into ministry.

Our Pastor's Retreat is a 5-day retreat designed for pastors and church leaders, addressing the unique challenges they face. Located in the natural beauty of southwest Michigan, it invites participants into a rhythm of rest and reflection through spiritual practices, seminars, and facilitated groups. It offers an opportunity for personal and vocational renewal that will be a blessing to you, your family, and your church.

Dates of the program for which you are applying*

If the program you are applying for is not available, would you like to be placed on the program waiting list?

Yes

If wait listed, what other program dates would you like to apply for?

Anything you want us to know about your program date preference?

First Name*

Last Name*

By what name do you prefer to be called?

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

Email*

Date of Birth*

Please select*

Female

Male

(If you will be on Sabbatical or Home Assignment during your requested program, please use your personal email address)

Phone*

Cell (Optional)

Are you married?*

Yes

How many years married?

Does your spouse plan to come?*

Yes

Spouse's Name*

First Last

Spouse's Preferred Name

Spouse's Date of Birth*

Spouse's Phone*

Spouse's Email (must be different than email provided above)*

(If you will be on Sabbatical or Home Assignment during your requested program, please use your personal email address)

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

Do you prefer a male or female counselor?*

Male

Female

No Preference

Please understand that we may or may not be able to accommodate your preference. Please contact us prior to your arrival if you would like to share more information related to your preference.

Do you have children/teens?*

Yes

We provide care for the whole family because we know children and teens need a safe place to process their own experiences. Learn more about our Kids and Teen Program at Programs for Kids and Teens.

Will your children/teens be attending with you?*

Yes

Names, ages, and gender of children/teens who will come with you

Legal Name

Preferred Name

Age

Birthdate

Gender

Do you desire counseling for any of your children/teens?*

Yes

*Child and adolescent counseling are not part of the regular program and is offered at an additional cost. The availability of child and adolescent counseling depends on counselor capacity.

Are they currently in or have they previously received counseling?*

Yes

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are you in full-time ministry?*

Yes

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:*

Church

Church Website

Country of Service*

Ministry Location*

Employer*

Briefly describe your role and for how long?*

Employer's website (if applicable):

Does your employer know you are applying to our program?*

Yes

Primary Church Affiliation(s)*

Church's website (if applicable):

Does your church know you are applying to our program?*

Yes

Primary Organizational Affiliation(s)*

Organization’s website (if applicable):

Denomination*

Denomination Website

Does this organization know you are applying to our program?*

Yes

Other Significant Ministry Affiliation(s):

Do you plan to utilize insurance to help pay for the retreat?

Yes

Often insurance will cover part of your expenses at ALONGSIDE. While we do not file insurance claims for our participants, we provide an insurance-friendly invoice that you can use to submit a claim, if you so choose. Please let us know whether you plan to file a claim. It may make a difference in terms of which counselor we assign to you, so we need to know from the outset.

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

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

How did you learn about the ministry of ALONGSIDE?

To help us determine the best possible care, please answer the following questions honestly about all individuals who may be attending (including children).

To help us determine the best possible care, please answer the following questions honestly about all individuals who may be attending

All programming is provided in English and requires at least an intermediate level of proficiency. Are all applicants comfortable using English in classroom and small‑group contexts?*

Yes

Unsure

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

Yes

Please Describe*

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.

Has any prospective participant shown aggressive behavior toward other people, property, or themselves within the last six months?*

Yes

Please Describe*

Has any prospective participant ever been accused of inappropriately touching another person under the age of 18?*

Yes

Please Describe*

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

Yes

Please Describe*

Does any prospective participant find themselves turning to substances (e.g., over the counter drugs, marijuana, vaping, street drugs, alcohol) to cope?*

Yes

Please describe type, amount, and frequency.*

Does any prospective participant find themselves turning to potentially addictive behaviors (e.g., Netflix™ binges, online content, eating, gaming, etc.) to cope?*

Yes

Please describe what you turn to and how this behavior impacts your daily life.*

Are there any disabilities or physical limitations for anyone that is attending that we need to take note of while you are here? These limitations could include, but are not limited to, sitting for over 3 hours, navigating stairs, and walking long distances over 300 yds.

Do you or anyone that will be attending (adults/children) have any food allergies we should be aware of? If so, please let us know if the allergy is severe or requires an EpiPen.*

Yes

Do you or anyone that will be attending have any food allergies we should be aware of? If so, please let us know if the allergy is severe or requires an EpiPen.*

Yes

If yes, please list each person that has an allergy to what food and the severity.

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

As part of the retreat, we offer up to two optional one-on-one sessions with a retreat facilitator for personalized support. Would you be interested in this opportunity?

Yes, I'm interested in one-on-one sessions.

No, not at this time.

Please understand that this application does not guarantee your acceptance for one of our programs. Application processing may take 5-7 business days. You will be contacted via email with more information once your application has been processed. Please email info@alongsidecares.net with any questions.