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Journey Intensive

Application Form

7 - 12 October 2025 Elandskloof Trout Farm, Dullstroom

Note that submission of this application form does not guarantee acceptance as a participant on the Journey South Africa Intensive; acceptance is entirely at the discretion of the staff of Journey South Africa and contingent on the applicant's adherence to the application and payment guidelines as outlined on this form and in the financial disclaimer which the applicant will receive following submission of the application form.

Please note: Complete this application form as honestly as possible. Please be specific and provide as much detail as you can.

Personal Information:

First Name

Preferred Name

Surname

Date of Birth

Gender

Gender
A
B

Physical Address

Cell Phone Number

Occupation

Email Address

Current Marital Status:

Current Marital Status:
A
B
C
D
E
F

If Married, divorced, or separated, please indicate for how long:

Number of Children:

Children's respective ages (e.g. 5, 13, 19)

Emergency Contact Information:

In case of Emergency, please contact:

First Name

Cell phone number

Surname

Email Address

Relationship (e.g. Parent, sibling, friend)

Payment Information:

The total cost for the Journey SA Intensive is: 

- R8250 if your application form is submitted and full payment is made before 1 July 2025.

- R8500 if your application form is submitted and full payment is made between 1 July - 22 September 2025

- R9000 if your application form is submitted after the cut-off date of 22 September 2025.

This includes a deposit of R2500 payable with submission of your application form.

A payment plan is available from the time that you submit your application form until the end of September 2025.
Applications close on Monday, 22 September 2025.
Following receipt of the completed application form, a telephonic/Zoom orientation discussion will be arranged with each applicant. The applicant will then be informed as to whether or not s/he has been accepted onto the Intensive following the discussion. The remaining fees must then be paid in full by 6 October 2025 if the applicant is accepted onto the Intensive.

A refund of the applicant’s deposit will be made within one week if his/her application is not successful.

Applicants who cancel their participation before 22 September 2025 will receive a refund

of their deposit. Applicants who cancel their participation on or after 22 September 2025

will forfeit their deposit and will be liable for the full fee.

Please indicate which option is applicable to you:

Please indicate which option is applicable to you:
A
B

If you are unable to pay the full deposit, please indicate the amount that you are able to pay:

Have you attended an Intensive or a Journey Discipleship Course in the past 7 years? If so, you would already have a Journey Discipleship Course (JDC) Participant Manual. If not, you would need to purchase one for this Intensive. Please indicate below:

Have you attended an Intensive or a Journey Discipleship Course in the past 7 years? If so, you would already have a Journey Discipleship Course (JDC) Participant Manual. If not, you would need to purchase one for this Intensive. Please indicate below:
A
B

Dates, Times, and Attendance:

The Intensive takes place from 7-12 October 2025.

Please select each of the details listed below to indicate your commitment to attend the Zoom meeting and abide by the arrival and departure times:

Please select each of the details listed below to indicate your commitment to attend the Zoom meeting and abide by the arrival and departure times:

Extra Night: You may prefer to stay an extra night and leave Monday morning. (Please note: the accommodation and meals will be at your own cost.)

Extra Night: You may prefer to stay an extra night and leave Monday morning. (Please note: the accommodation and meals will be at your own cost.)

Application to become a Journey Team Member: For those interested in becoming a team member, there will a compulsory meeting on a Saturday in March 2026 from 09:00 - 16:00. The meeting will be in-person at a venue to be confirmed. (Those unable to attend in-person will be able to attend via Zoom.)

Application to become a Journey Team Member: For those interested in becoming a team member, there will a compulsory meeting on a Saturday in March 2026 from 09:00 - 16:00. The meeting will be in-person at a venue to be confirmed. (Those unable to attend in-person will be able to attend via Zoom.)

Registration information:

Please include with your application a letter of recommendation from your Journey small group leader or coordinator, your pastor (or overseer, if you are a pastor), mentor, counsellor, or someone in Christian leadership, who has known you for at least the last two years, indicating their endorsement of your readiness in participating in a Journey South Africa Intensive, along with their contact information (phone number and email address).

Select which option is applicable to you:

Select which option is applicable to you:
A
B

If you are attending as a group, please provide the names and email addresses of the other applicants, separated by a comma, applying for the Intensive below:

Application details:

Are you currently involved with Journey in your area?

Are you currently involved with Journey in your area?
A
B
If "yes", please provide the following information:

Ministry Location (City/Province):

How long have you been involved?

What is the capacity of your involvement?

What is the name of your current church affiliation? (If you’re not currently affiliated with a church, please write “None”):

Church Location (City/Province):

How long have you been attending?

In what capacity?

Explain the relationship (if any) between your church and Journey South Africa:

What are the reasons you want to attend the Intensive? (Check all that apply)

What are the reasons you want to attend the Intensive? (Check all that apply)

If you would like to be trained to become a leader in Journey programs, what do you feel enables you to lead an intensive healing program for people seeking freedom from relational and sexual brokenness?

Describe the people in your life who know about the issues/problems you currently face and are supportive of your journey:

Please write your testimony with emphasis on describing:

a.  Your family life growing up and your introduction to a spiritual journey.

b.  The current issues/problems (and how they are expressed) that lead you to seek out participation in a Journey program.

c.    Any steps (e.g. other ministries, support groups, professional counselling, etc.) you have already taken to address the issues/problems and any benefits you have received in taking those steps.

Are you currently in a relationship that involves ongoing sexual contact that is not identified in your testimony?

Are you currently in a relationship that involves ongoing sexual contact that is not identified in your testimony?
A
B

If "yes", please describe your relationship:

Whether married or single, have you ever been involved in a sexual or emotionally inappropriate relationship (either heterosexual or homosexual)?

Whether married or single, have you ever been involved in a sexual or emotionally inappropriate relationship (either heterosexual or homosexual)?
A
B

If "yes". please describe your relationship:

Do you have any chemical dependencies (eating problems, alcohol, mood-altering substances not prescribed by a doctor, etc.)?

Do you have any chemical dependencies (eating problems, alcohol, mood-altering substances not prescribed by a doctor, etc.)?
A
B

If "yes", please describe briefly:

Have you ever seriously contemplated suicide?

Have you ever seriously contemplated suicide?
A
B

If "yes", please explain:

Are you currently facing, or have you ever faced, a mental health diagnosis?

Are you currently facing, or have you ever faced, a mental health diagnosis?
A
B

If "yes", please describe briefly:

Do you have supports in place for health and growth in your life (e.g. personal accountability, mentoring, counselling etc.)?

Do you have supports in place for health and growth in your life (e.g. personal accountability, mentoring, counselling etc.)?
A
B

Have you ever been involved in any non-Christian spiritual or religious experiences/ ceremonies/ events/ indoctrination/ training/ abuse?

Have you ever been involved in any non-Christian spiritual or religious experiences/ ceremonies/ events/ indoctrination/ training/ abuse?
A
B

If "yes", please tick the relevant items below:

If "yes", please tick the relevant items below: