New Agency

Full Legal Name

[{viewVars.validations.fullName}]

Preferred Name / Title (if applicable)

[{viewVars.validations.preferredName}]

Email Address

[{viewVars.validations.email}]

Phone

[{viewVars.validations.phone}]

Address

[{viewVars.validations.address}]

City

[{viewVars.validations.city}]

State

[{viewVars.validations.state}]

Website or Professional Page

[{viewVars.validations.website}]

Preferred Contact Method

[{viewVars.validations.prefContact}]

Do you practice/study an African Tradition?

[{viewVars.validations.africanTradition}]

Please describe your situation or need. (You may share as much detail as you feel comfortable. This helps us connect you with the right person.)

Please describe your spiritual lineage(s) and spiritual training.

Who are your primary spiritual teacher(s), elders, and/or mentors?

How long have you been practicing or serving community in your spiritual practice?

What type of services are you interested in providing? (Check All that Apply)

[{pr}]

Describe the service(s) you provide in this/these area(s)

Please describe your Education and Training in these service areas. Who are your mentors relevant to this/these service area(s)

How long have you been practicing or serving community in these areas

Do you agree to operate within ethical guidelines that prioritize safety, consent, accountability, and balanced character (iwa pele)?

[{viewVars.validations.ethicalGuidelines}]

Please briefly describe how you maintain ethical boundaries in your work.

At least one reference must be an Elder, Teacher, or Lineage Authority

Reference 1 (Elder / Teacher Required)- Please list the references Name, Role / Relationship, Email and Phone Number.

Reference 2 (Elder / Teacher Required)- Please list the references Name, Role / Relationship, Email and Phone Number.

Reference 3 (Elder / Teacher Required)- Please list the references Name, Role / Relationship, Email and Phone Number.

Are you currently accepting new referrals?

[{viewVars.validations.acceptingReferrals}]

Preferred method(s) of engagement:

[{pr}]

Please confirm the following:

I understand that submission of this application does not guarantee acceptance.

Acknowledgment

[{viewVars.validations.consent1}]

I consent to reference checks and an interview as part of the vetting process.

Acknowledgment

[{viewVars.validations.consent2}]

I agree to uphold the values, ethics, and accountability standards of IFA MENDS.

Acknowledgment

[{viewVars.validations.consent3}]

I understand that IFA MENDS reserves the right to decline or remove providers if standards are not met

Acknowledgment

[{viewVars.validations.consent4}]

Thank you for your willingness to serve and support our community through IFA MENDS. We honor the responsibility this work carries and appreciate your commitment to integrity, care, and ancestral accountability.
Next Steps: Qualified applicants will be contacted within 1–2 weeks to schedule an interview and receive additional onboarding materials

[{viewVars.title}]

Contact Information

Spiritual Practice

Service Providers

Service Providers

REFERENCES (Minimum of 3 Required)

Availability and Referrals

Acknowledgement and Consent