Cohort 10: Application for Taking Part in the Empathy Circle Facilitator Training
Thank you for your interest in joining this Empathy Circle Facilitator Training Cohort 10. Please fill out this application  in preparation to take part.
Course Website: https://bit.ly/ECCOURSE

Trainers: Bill Filler, Lou Zweier
Producer: Edwin Rutsch  - EdwinRutsch@gmail.com
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Email *
What is your name? *
Your City and Country *
Any Organizational Affiliations *
What is your Facebook or Linkedin page URL (if you have one)?
Which Sessions can you attend or not attend?  You must commit to attending all Sessions. All times: 12pm PT/3pm ET/8pm GMT/9pm CET *
Yes
No
Session 1: Sunday, Jan 17
Session 2: Sunday, Jan 24
Session 3: Sunday, Jan 31
Session 4: Sunday, Feb 07
Session 5: Sunday, Feb 14
Preparation: Have you seen the How to Empathy Circle Videos? (if you have not seen them, please view them before attending) *
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.  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?
A copy of your responses will be emailed to the address you provided.
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