Cohort 2 Application: For Taking Part in the Empathy Circle Facilitator Training
Thank you for your interest in joining the Empathy Circle Facilitator Training Cohort #2.
The trainers are: Bill Filler, Lou Zweier, Edwin Rutsch - EdwinRutsch@gmail.com

Please fill out this survey in preparation to take part.

For more information about the training see Facebook signup: https://bit.ly/FBECFT
Sign in to Google to save your progress. Learn more
What is your name? *
Your City and Country *
Any Organizational Affiliations *
Which Sessions can you attend or not attend? *
Yes
No
Tue, June 23
Thur, June 25
Tue, June 30
Thur, July 2
Preparation: Have you seen the How to Empathy Circle Videos? *
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 3 or more.)   Here are upcoming Empathy Circles you can join to fulfill the requirement.  https://facebook.com/EmpathyCenter/events/ *
Preparation: Where did you take part in Empathy Circles and who facilitated them? *
Why are you interested in becoming an Empathy Circle Facilitator? *
Where would you like to facilitate Empathy Circles?
What do you see as the benefits of Empathy Circles? *
Are there any questions that you think should be asked or improvements in this survey? If so, what are they?
Any other questions or comments? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.