Apply to Staff Woman Within Level 2: Exploring the Archetypes (fka Wholeness)
This form is only for applying to staff the Woman Within Level 2: Exploring the Archetypes Workshop (fka Wholeness) There is no set deadline for staff applications, however ideally applications should be submitted no less than 120 days prior to the workshop. Generally staff selection is made anywhere from 90 days or earlier prior to the weekend - please refer to invitation notices posted to facilitation and leadership track members for specific dates and details.

Woman Within welcomes all women and prohibits discrimination based on race, color, gender, national origin, age, religion, disability, veteran’s status, sexual orientation and gender identity.

Select the Woman Within Level 2: Exploring the Archetypes (fka Wholeness) that you wish to staff *
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I wish to apply for the following position:
Please note that the number of staff required is directly related to the number of participant registrations, and organizer choice.
Please indicate your preference: *
Personal Information:
First Name *
Your answer
Last Name *
Your answer
Contact details:
Email *
Your answer
Primary phone *
Your answer
Other phone *
Your answer
Address *
Your answer
City *
Your answer
State/Province *
Your answer
Zip or Postal Code *
Your answer
Country *
Your answer
Staffing information
Please indicate your level of Certification on the Facilitation Track:
Previous Facilitation Experience: (# of times on the carpet. If applying for Team Leader/ATL, # of times in TL/ATL): *
Your answer
Date and place I attended my own Woman Within® Training: *
Your answer
I have completed the Woman Within® One-Day Staff Training: *
Where and when?
Your answer
I have completed the Woman Within® Skills Workshop (fka Women Empowering Women): *
Where and when?
Your answer
I have completed the Woman Within® Wholeness Workshop (fka Woman Within Level 2) *
Where and when?
Your answer
Previous Presenting/Teaching Experience:
Your answer
Additional information:
I am: *
Required
Certified in CPR? *
Date:
Your answer
Certified in First Aid? *
Date:
Your answer
Certified in BLS? *
Date:
Your answer
Health Conditions (i.e. pregnancy, blood pressure, etc.) *
Your answer
What do I wish to gain from staffing this Training: *
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Any additional information that you would like to share?
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Signature
YOUR NAME *
Writing your name constitutes an electronic signature
Your answer
DATE *
Your answer
Submit
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