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Cohort 9.B: Application for Taking Part in the Empathy Circle Facilitator Training
Thank you for your interest in joining this Free Empathy Circle Facilitator Training Cohort.
Please fill out this application in preparation to take part.
After filling our this application, email
EdwinRutsch@gmail.com
and I will discuss the next steps with you via email. (Mention Cohort 9.B)
Course Website:
https://bit.ly/ECCOURSE
Course Time Commitment:
https://j.mp/3hzBPFS
This Form URL:
http://bit.ly/ApplyCohort9B
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* Indicates required question
Your First and Last Name?
*
Your answer
Your City and Country
*
Your answer
Greetings from a Previous Cohort!!
Any Organizational Affiliations
*
Your answer
What is your Facebook, LinkedIn, and Website URL (if you have one)?
Your answer
Session Times
Times: 10am PT/ 1pm ET/ 5pm UK/ 6pm CEST (2.5 hours)
More World Times:
https://j.mp/3k6ttap
See more about time commitment here:
https://j.mp/3hzBPFS
We require that you can attend all Sessions. Confirm you can attend each Session?
*
Yes
No
Session 1: Wed, March 17
Session 2: Wed, March 24
Session 3: Wed, March 31
Session 4: Weds, April 07
Session 5: Wed, April 14
Yes
No
Session 1: Wed, March 17
Session 2: Wed, March 24
Session 3: Wed, March 31
Session 4: Weds, April 07
Session 5: Wed, April 14
Preparation: Have you seen the How to Empathy Circle Videos? (if you have not seen them, please view them before attending) see
http://bit.ly/EC-How
*
Yes
No
Have you seen 9 min video How to Video? http://bit.ly/EC-How
Have you seen 25 min How to Video? http://bit.ly/EC-How
Yes
No
Have you seen 9 min video How to Video?
http://bit.ly/EC-How
Have you seen 25 min How to Video?
http://bit.ly/EC-How
Preparation: How many Empathy Circles have you taken part in? (To take part we require 2 or more.) Here are upcoming Empathy Circles you can join to fulfill the requirement. Or hold your own.
https://facebook.com/EmpathyCenter/events/
*
Choose
None
1
2
3
4
5
6 or more
Preparation: Where did you take part in Empathy Circles and who facilitated them?
*
Your answer
Why are you interested in becoming an Empathy Circle Facilitator?
*
Your answer
Where would you like to facilitate Empathy Circles?
Your answer
What do you see as the benefits of Empathy Circles?
*
Your answer
Are there any questions that you think should be asked or improvements in this application? If so, what are they?
Your answer
Any other questions or comments?
*
Your answer
See You Soon in the Next Cohort!
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