PO Box 63273

St. Louis, MO 63163

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A collaboration between Pathways to Promise and the Mental Health Chaplaincy; 2018

Instructor Training Reference Form

Companionship is intended to be done in and with the support of community.  To be considered for the Companionship Instructor Training, each instructor applicant is required to submit a community support reference document.  No application will be reviewed until both the application and reference document have been received.  Please note that references are subject to phone verification — By submitting this form, you are giving permission to Pathways to Promise to contact your reference. 

Please select an individual from your community who can attest to your suitability of becoming a Companionship Instructor to complete this form.  It is important that this individual knows you and your work well enough to be able to thoughtfully and completely respond to the all questions.