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Mindful Eating for the Beloved Community Application Form
**Please note you may be wait listed as we are nearing capacity for the program beginning March 3, 2021.**
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Email *
Untitled Title
Name *
What is your interest in the program? *
Are you part of a faith community, and if so, what is it? *
What do you hope to learn? How do you hope to impact your community?
Pronoun Preference
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Ethnic Identity
Mailing Address (So we can mail you a copy of the Mindful Eating for the Beloved Community book) *
Please offer a 1 paragraph bio that we can share with other participants. Thank you. *
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