Apprentice Application As you won’t be able to save this application and return to it at a later time, please give yourself ample time to complete it in its entirety. NOTE: All your information will be confidential to Lorena. Name * First Name Last Name Email * Phone * (###) ### #### What is your preferred method of contact? * Email Phone How did you hear about me and this training? * From a friend From my therapist From the internet Other If Other, please explain. Have you done this type of training before? If yes, please tell me more about it. * Why are you interested in this kind of training? * Please describe your relationship to alcohol, marijuana, tobacco, or other substances. For this type of work, the accuracy of this answer is highly important. * What are some difficult things from your familial/childhood history? Include traumatic experiences you've had, and what support (if any) you have relied on to help you integrate. * What therapists/coaches/counselors have you worked or are you working with, specifically how long you’ve been with them and the intention of the work? * Who/what do you lean on for support, e.g. friends, family, community, religion/spirituality? Please share more with me about your source(s) of support. * Are you currently in an intimate relationship? * If you are in an intimate relationship, does your partner know you are interested in this training? Are they supportive? If they are not, please explain how moving ahead without their support works for you. * What is your relationship to ethics in this field of work? Rather than give you my definition of ethics, I want to know how you understand them and how they live in you. * This field of work can attract certain kinds of power dynamics. For example, that kind of power can make a person giddy or forget themselves and break certain agreements and regulations. Are you aware of this occurring in this field? If so, what is your reaction or concerns about this? * Journey guides are representative of folk who are invested in doing their own personal work first, for the sake of their own relationships and, by extension, their community. Do you relate to this? If so, how? * What do you perceive as something which might get in the way of you being a good fit for us? * Is there anything else you'd like me to know about you, perhaps something that feels better to write about before talking about it on our exploratory call? *
