Register for the Art of Hosting Conversations That Matter
How can we come together with authenticity to co-create change? | Goa, India
A 3 day workshop: Friday 18 to Sunday 20 March 2016
Your name *
Your answer
From what context do you come to this workshop? *
Choose as many as are relevant
Required
Details
Name of organisation or sector/field eg: Health, Education, Agriculture, sustainability etc
Your answer
How do you hope this training could benefit you and the organisations or communities you work in? *
Your answer
Where are you based? (town/village) *
Your answer
Country
Your answer
Your email address *
Your answer
Your phone number (best contact) *
Your answer
Do you have any support needs?
If yes, please offer details
Your answer
Do you have any cultural or religious needs?
If yes, please offer details
Your answer
Do you have any dietary needs or food preferences? *
If yes, please offer details
Your answer
Do you have translation needs?
The workshop will be conducted in English. Please let us know if you have translation needs, and in which language.
Your answer
Choose your payment amount *
SCHOLARSHIP applicants only: Please share with us how this workshop applies to your life mission, purpose and path, and how you intend to apply what you learn and share with others
Your answer
Are you able to offer a gift to support someone else to attend?
The purpose of our training is to build capacity - wherever it is needed. A contribution will support someone to attend who may not be able to afford the whole participation fee. If you wish to, please nominate amount. This will be added to your invoice.
Your answer
Let us know any travel requests you may have or outstanding questions
eg: pick up from airport or organising a share ride, or advice on a longer stay or where to stay in Goa (why not stay an extra day and be nourished by Natures bounty here? : )
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Purpose Partners. Report Abuse - Terms of Service