Radically Loved Mentorship Program
Event Timing:
This Program Begins Monday August 1st 2017- Ends December 1st, 2017
Event Address: Online & Portland, Oregon
Contact us at rosie@radicallyloved.com
Email address *
First/Last Name *
Best Phone# To Reach You: *
Age Group:
Emergency Contact Name: *
Emergency Contact Phone Number *
How Did You Hear About This Program? *
Name of 200 hour training school and graduation date: *
What do you feel your main strengths as a teacher are? *
What areas of your teaching would you most like to work on? *
Why would you be drawn to Rosie Acosta as a mentor? *
Do you have a regular daily practice? If so please describe it: *
Please tell us about your health: injuries, conditions, illnesses or anything else that might impact you, your practice and preparation to teach: *
So how is your mindset lately? *
I understand that one-on-one time with Rosie as my mentor will be done via Skype (in person when possible) 4 Sessions total *
I understand that doing my homework, individual practice, and working on my own is a big requirement for the success of this program. *
I understand that I will be assigned a mentor approved by Rosie to work with in person *
What are your expectations for this apprenticeship? *
What do you hope to learn/work on? *
I acknowledge that this program will benefit me most by doing the work, this requires SELF-MOTIVATION and WILL, ACTION + KNOWLEDGE. *
I understand due to my mentor schedule that the in person meeting locations will be announced every month, and will do my best to make up sessions as needed. *
You will be able to schedule up to 2 makeup sessions if missed included in the cost of tuition. Above that, the rate will be $100 per hour missed. *
What Will Be Your Word of Intention For This Program? *
I acknowledge the $1500 tuition fee for the mentorship program and that all payments are non-refundable. I understand that I will have to pay prior to the beginning of this training unless arranged otherwise. *
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