Conversations of the Heart Application

This 6-week series is open to the public. The program is sponsored by the Sisters of St. Agnes and there is no cost to attend.

Our goal is to bring together the diversity of identities, opinions, and perspectives each participant brings to our conversations, so we have created this application. 

Once your application is approved, you will be notified of upcoming cohorts you have the option to join. 

Cohorts of up to 15 participants are formed throughout the year, and may be in-person (in Fond du Lac, WI) or virtual.

Most cohorts meet once a week for a consecutive 6 weeks, but schedules may be modified for needs of each cohort. Each weekly session is 1-1/2 to 2 hours.

Participants are expected to commit to attending all 6 sessions in their cohort.

Purchasing Parker Palmer's book, "Healing the Heart of Democracy" is not required, but could be helpful to your learning. 

Email *
Your Name *
What is the best phone number to reach you? *
How would you describe your political leaning? *
How would you describe your religious identity? *
What gender do you identify with? *
Are there are other identities you would like to share? *
Why do you want to join a Conversations of the Heart cohort? *
When/How are you able to attend? Please check all that apply. *
Required
Session are generally on Thursday nights, 5:30 - 7:30. If Thursday nights do not work for you, please share what times during the week do work best.
How did you hear about Conversations of the Heart *
Do you request any accommodations that would help your experience? *
Thank you for your application. Is there anything else you'd like us to know or have any questions to ask?
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms