Apply — Pastoral Burnout Recovery & Prevention

Personal Information

First Name *

Last Name *

Email *

Phone *

Present Address

City

Postal Code

Country

Birthday

Marital Status

How did you hear about this program?

Ministry Context

Current Ministry Role *

Years in Ministry

Church / Organization Name

Denomination / Network

Are you currently on staff / actively serving?

Yes

On leave

No / stepped away

Is your supervisor, elder board, or sending agency aware of this application?

Yes

Not Applicable

Why You're Coming

There's no wrong answer here — we want to meet you where you are.

Which best describes why you're applying? *

Prevention

I'm not in crisis, but I want to build healthier rhythms before burnout sets in.

Recovery

I am currently experiencing burnout, exhaustion, or significant ministry strain.

Both

I'm recovering from a hard season and want tools to prevent it from recurring.

Tell us more about what brings you here

Family

Will any family members be joining you?

Yes

Undecided

Health Information

Do you have any allergies?

Yes

Are you currently taking any medications?

Yes

Dietary restrictions or preferences

Lifestyle & Patterns

Many leaders carry coping patterns that quietly drain them. This is a safe, confidential space — share only what you're comfortable with.

Are there any habits, dependencies, or coping patterns in your life that you feel are unhealthy or that you'd like support with?

Yes

Unsure

Prefer not to say

Faith & Ministry Life

How would you describe your spiritual vitality right now?

Do you regularly practice a Sabbath / day of rest?

Describe your current spiritual practices (prayer, scripture, silence, community, etc.)

Do you have a personal accountability or soul-care relationship outside your church (spiritual director, mentor, peer group)?

Yes

Somewhat

Reflect on your sense of calling today — what's stirring?

What is your biggest ministry challenge right now?

What do you hope to walk away from this retreat with?

Agreement

I understand this is a Christian faith-based program and that what I share will be held in pastoral confidence by the Homestead for Hope team, except where disclosure is required by law or to protect life.

I have answered these questions truthfully and understand that knowingly withholding important information may affect my acceptance or continuation in the program.

Date *

Your application will be reviewed confidentially by our team.

Need Help?

Office Hours: Mon–Thurs 9am–4pm

306-339-7035

kassie@chooselifeministry.ca

PO Box 426, Carnduff, SK S0C 0S0

Pastoral Burnout Recovery & Prevention