Do you want to:  Add a Listing?     Change a Listing?     Remove a Listing? (please see further instructions below) TO REQUEST AN ADDITION TO THE ONLINE NYRP ALUMNI DIRECTORY, check the add box above and fill out the form below and click on Submit Form.  Those without internet access may have someone print this form for them and mail the information to: New York Region Pathwork, 74 Main Street/PO Box 66, Phoenicia, NY, 12464. Please allow 30-60 days to see your listing online. THANK YOU. To CHANGE your listing, check the change box above and give your name, address and changed information and click on Submit Form. To REMOVE your listing, check the remove box above and give your name and email address for verification, and click on Submit Form. DIRECTORY LISTING If you wish more web anonymity/privacy, you may choose to only indicate an initial for EITHER your first name or last name (but not both). You may also leave your phone number blank, but this will be the only listed way for people to reach you. City and State are required. * If you receive a submission error, please copy this page and submit your information via email to administrator@pathworkny.org.
Last Name (full or initial, required)
First Name (full or initial, required)
City of Residence (required)
State of Residence (required)
Country of Residence (if out of U.S.)
Phone Number as dialed within U.S. (optional)
Is this person deceased?	Yes   No
Year Person Started the Pathwork
Pathworker Who's Who Listing (optional; 240 characters max.):	(List past or current Pathwork or Pathwork-related  involvements/accomplishments/service, like helper, NYRP board member during certain years, member of a certain committee for certain years, Core or Brennan School graduate, wrote book on a certain topic, Pathwork things you enjoy or Pathwork topics of special interest, other areas where you may teach now, etc. You may include a brief non-Pathwork-related item like a vocation or career. Sorry, but website names are not allowed here.)
Pathwork Projects (optional; 240 characters max.):	(List arenas where you are bringing Pathwork into world service, or where you would like to, such as researching the Pathwork lectures for the meaning of certain illnesses, bringing Pathwork into certain geographical areas or into education or government or parenting, writing a Pathwork-related book, etc. Sorry, but website names are not allowed here.)
Full Name of this Person (required):	OTHER INFO NEEDED: (separate from directory listing above; needed to set up/clarify database record)
E-mail address to send annual remember-to-update-this-listing notices to (required):	(For your privacy, this will NOT be listed online. Only for administrative use. Needs to be the same as your primary email address on file.)
Two names & phone numbers of Pathworkers who can verify this person's eligibility to be listed:	(in case this person might not currently be in our database; to limit bogus listings)
Would you like to receive:
The Kindred Spirit (NYRP newsletter) by email a few times a year?	Yes  No
Other alumni-related emails?	Yes  No
Other general NYRP emails?	Yes  No