Personal Debriefing Retreat

Application Form - Le Rucher Only

NOTICE: Before you fill out the application form below, we want  to assure you that we fully respect your privacy and will always keep your details confidential.  They are never shared with a 3rd party.  We use this information only to determine our ability to serve you.  We will email you at the address you provide to notify you whether your application is accepted and/or to clarify any further information.

We do not use this information to make any automated decisions that might affect you.  If you are accepted for debriefing, your information is securely archived.  Only the information you voluntarily share with us in the form below is collected.

If we are unable to accommodate your request (due to dates, etc.) your information is automatically deleted after 30 days.  You have the right under EU law to request that your data be erased so feel free to contact us after your debriefing if you would like us to delete your identifying information from our records.

You may choose from one of these dates:

15 – 20 September 2019

17 – 22 November 2019

8 – 13 December 2019

26 – 31 January 2020

23 – 28 February 2020

3 – 8 May 2020

13 – 18 September 2020

1 – 6 November 2020

6-11 December 2020

Personal Debriefing Retreat Application Form

Please acknowledge you have read the above notice and agree with it before filling in this form:

Do you need a visa for France?

Is this a volunteer mission?

Is this your first debriefing at Le Rucher?

Do you have health insurance that is valid in France?

Are you taking any prescribed medications?

Are you under the care of a professional psychologist or psychiatrist?

10 + 14 =

 

Find us:

We are physically located in France, only 15 minutes from the Geneva, Switzerland airport: 

2067 Route de Tutegny

01170 Cessy, France

Tel:  +33(0)450.28.03.81

Copyright 2019, Mercy Ministries International.  All Rights Reserved.