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Application for The Work That Reconnects Facilitator Development Program - 2020
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First Name
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Last Name
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Phone Number
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Street Address or PO Box
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City
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State or Province
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Postal Code
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Country
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How did you find out about the program? Workthatreconnects.org? Molly Brown, Constance Washburn, or Joanna Macy websites? Friend ? Facebook?
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Social Identities:
As part of our work in this course, we will be exploring different facets of our biological and socialized identities, including areas of privilege and oppression. Because it will help the facilitators to better plan for our work together--and because we hope it will be a meaningful reflection for you on some of the circumstances of your life--we ask you to share some information about how you identify. Please respond in whatever way feels accurate and comfortable for you at this time in your life.
Gender Identity
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Racial Identity
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What lands/nations/countries are your ancestors from?
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Country or countries of residence and/or citizenship
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What is your first language?
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Background in Facilitation and the Work That Reconnects
What is your experience with the Work That Reconnects? What workshops or retreats have you attended--when, with whom, for how long?
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What is your experience with facilitation? What are your strengths and what do you want to learn?
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How has the Work That Reconnects affected your life and work?
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How do you plan or hope to use the Work That Reconnects?
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What calls you to do this work at this time?
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Logistics
The 2020 FDP will begin mid year once we have completed and reviewed the 2019 program. There will be monthly live study circles and prep work as well as the 2 hour and 15 minute monthly webinars on a weekend day.
The cost of the year-long program is on a sliding scale between $1500 and $3,000. The more people who participate at the higher level, the more scholarships we'll be able to give. How much of that cost will you be able to cover?
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To help us schedule webinars please let us know your time zone. UTC
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A copy of your responses will be emailed to the address you provided.
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