Apply to staff Woman Within Skills Workshop (fka Women Empowering Women: Connecting from the Heart)
This form is for applying to staff Woman Within Skills Workshops (fka Women Empowering Women). 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.

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 Skills Workshop (fka WEW workshop) that you wish to staff *
Required
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
Date and place I attended my own Woman Within® Weekend: *
Your answer
I have staffed WW Skills Workshop (fka WEW) before: *
Where and when?
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
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: *
Your answer
Any additional information that you would like to share?
Your answer
Signature
YOUR NAME *
Writing your name constitutes an electronic signature
Your answer
DATE *
Your answer
Submit
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