Benedictine Sojourners Application

Benedictine Sojourners at Holy Wisdom Monastery is a 6-12 month experience. Beginning dates are requested at the time of application and negotiated during the interview process.

The following is the Benedictine Sojourners application. If you are looking for the letter of recommendation form, please click here.

INSTRUCTIONS:

After completing and submitting this application form, please remember the following, additional steps:

Complete and submit your responses to the reflections questions found by clicking here.
Secure three letters of recommendation. Instructions and forms for these letters may be found at the bottom of the Benedictine Sojourners webpage.
Arrange to attend a Sojourner Retreat or make a contact Sister Lynne Smith to arrange for a personal retreat.

Please fill out this form to apply for the 2012 Benedictine Sojourner experience at Holy Wisdom Monastery.

Dates which you are requesting:*
Identifying Information
Name*
FirstLast
Address*
Street AddressCityState / Province / RegionZip / Postal CodeCountry
Phone*
Email*
Enter EmailConfirm Email
Birthdate*
Citizenship*
Social Security Number
Driver's License (state & #)
Relationship Status*
Number of Dependents*
Please enter a value less than or equal to 20.
List two people to notify in case of emergency. PERSON 1:*
Name Relationship Telephone Cell Phone Email
PERSON 2:*
Name Relationship Telephone Cell Phone Email
Education
High School Attended*
Year of High School Graduation*
College/Technical School Name
College/Technical School - Major
College/Technical School - Year of Graduation
College/Technical School - Degree
Graduate School Name
Graduate School - Major
Graduate School - Degree
Graduate School - Year of Graduation
If you attend(ed) college but have not graduated, how many semester hours have you completed?
Please enter a value between 0 and 500.
List any courses, studies, work or research in which you have participated that would be relevant to being a Benedictine Sojourner with Benedictine Women of Madison at Holy Wisdom Monastery:
Employment
Name your last two places of employment beginning with your present (most recent) position.
Place of Employment #1
Address #1
Street AddressCityState / Province / RegionZip / Postal CodeCountry
From

Please enter the start date of your present (most recent) place of employment.
To

Please enter the end date of your present (most recent) place of employment.
Position
Place of Employment #2
Address #2
Street AddressCityState / Province / RegionZip / Postal CodeCountry
From

Please enter the start date for this place of employment.
To

Please enter the end date for this place of employment.
Position
Background Information
Religious Affiliation
Have you been active in a church, parish or campus ministry? If so, for how long and in what way?
Please tell us something about your prayer life and ways in which you would like to grow in prayer. *
Please list any other activities related to your religious or spiritual life that you would like us to know (i.e. retreats, seminars, programs).
How did you hear about Holy Wisdom Monastery? *
List any current/past service experiences, part-time or full-time, in which you have participated. (Use the + plus sign at right to add more rows.)
Service Experience Dates Responsibilities
Please explain any difficulties that you foresee arising from your participation in this program. *
Do you have a significant personal indebtedness that might cause problems for your participation? If yes, please explain.
Have you been charged with any illegal activity? If so, please describe briefly and include the outcome of the charge(s).
Skills, Hobbies and Interests
Please list any skills, hobbies, and/or interests that you would bring to this experience of community living and service.
Health History
Please describe the general condition of your health: *
Do you have any serious health conditions? *
- No
- Yes
If yes, please explain:
List and explain any physical limitations or handicaps:
List any dietary restrictions:
Are you pregnant or been advised in the last year that hospitalization, surgery or treatment is needed/pending?*
- No
- Yes
If yes, please explain:
Check items which currently, or have in the past, caused you concern:
- cancer
- stroke
- heart disease
- alcohol or drug use
- vascular disease
- liver, kidney, lung or intestinal disorder
- mental or emotional disorder
- diabetes
- eating disorder
- epilepsy
- headaches
- arthritis or lupus
- acquired immune deficiency syndrome (AIDS)
- other immune system disorder
- allergies
If yes to any of the above, please explain:
Please list any prescription drugs that might affect your service with us:
Health Insurance Provider
Health Insurance Group #
Health Member Group #
After you click submit, a copy of your completed application will be emailed to you.