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STUDENT INTAKE SURVEY

Name (Mundane or Craft):
Address:
Phone:
E-Mail:
Age:

Due to liability considerations, we are not accepting students under the age of 18. If you're younger, read the books on our recommended reading list and contact us when you're of legal age if you're still interested.

Please, tell us a bit about yourself. Are you single, married or in a relationship ?

What are your usual working hours?

What is your religious background?

Why did you leave or why are you looking into Wicca?

Prior experience is not necessary, but if you have any previous experience, we'd like to know it:

If you have worked with a group before, may we contact your High Priest or High Priestess or other circle members for a reference? yes or no
If not, why not?
If yes, please give us an address or e-mail address.

If you had to name five books that were the most influential on your spiritual quest, what would they be? Please add authors.
by:
by:
by:
by:
by:

What are your interests? Check all that apply:

Ritual
Herbalism
Divination
Astrology
Mythology
Numerology
Music
Writing
Teaching
Brewing/cooking
Healing
Needlework
Sewing
Graphic Arts
Gardening
Martial Arts
Other:

In our experience, groups progress best when they meet regularly. How often would you be available to meet?
What are the best days for you?
MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY

Our circle works with a balanced perspective of God/Goddess rather than a feminist perspective of Goddess only. Do you have any problems with this approach? YES NO

Do you have any problems in working with a mixed group of men/women/gay/straight folks? YES NO

Do you have any problems with ritual nudity? YES NO

Do you require any special accomodations for accessability or otherwise that we need to be aware of? YES NO
If yes, please describe:

We have worked with those who are working to heal the psychological wound from tramatic experiences in the past. Though that is not the primary focus of this coven, we still do our best to provide a supportive atmosphere. Do you have any psychological problems that we should be aware of? YES NO
If yes, please explain:

Do you take any type of medication that affects your mood or brain chemistry? YES NO

We are entirely supportive of those seeking recovery from drug or alcohol addiction. This circle will be a strictly drug free area. We may, however, use alcoholic beverages in the chalice. If you are a recovering alcoholic, please let us know so that we can accommodate you and so that all can participate fully in Circle. The rest of the Circle need not know who you are, but as the teachers, we need to know. Are you a recovering alcoholic/addict?
YES
NO

Even though we have at least one member who smokes cigarettes, there are sometimes when meetings and/or rituals are held in areas where smoking is not allowed. Are you a smoker and if so, will this be a problem for you?
YES
NO

Are you allergic to cigarette smoke? YES NO

We have a cat, so there is cat hair everywhere in the house, even after we vacuum. If you're allergic to cats, we may have to find different places to meet. Are you allergic to cats?
YES
NO

Students and petioners are expected to be at all meetings, events, and rituals unless there are extenuating circumstances such as illness or work. Do you have reliable transportation?
YES
NO

Would you be willing to help out others by giving them rides or carpooling to and from events? YES NO

We realize that just because you are interested in the Craft doesn't mean your loved ones are supportive. This can sometimes create difficulties for the student who may feel caught in the middle of a dilemma. How does your family/S.O. feel about your involvement with the Wiccan path?

In some traditions of Wicca, many of the teaching are "oathbound" meaning that the initiate takes an oath not to reveal the material to others who are not initiates. In the Pythonic Tradition, even though we do not follow this teaching as strictly as other traditions may, there still may be information and or teachings that you may not reveal to the non-initiated. How do you feel about the concept of oathbound material?

Our primary focus and interests are Greco-Roman. For that reason, we may send you elsewhere if your primary interests are say Egyptian, or Native American or Asatru or whatever. Please tell us, what Pantheon you are interested in?

Is there anything else you would like us to know or feel we should know about you or your situation?

What do you expect from us and from fellow students/coveners?