Success Accelerator: Goal Setting Workshop Series

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🌱 Learn and use tools and strategies to effectively build and keep habits, move to action, overcome obstacles, and take meaningful steps towards your goals.

Email address *

Legal First Name *

Legal Surname *

Preferred Name

Date of Birth *

YYYY

Full Address, including postal code *

Phone Number *

Referred by (please include the organization and name of the person):

Which of the following do you identify with? *

Involved with the Justice System (means a history with the criminal justice system and/or agencies such as John Howard or Elizabeth Fry)

Experienced homelessness

Experienced mental illness (either self-identify or clinically diagnosed)

Experienced trauma

Gender-Based, Intimate Partner and Family Violence

Indigenous

In or are leaving the care of the Children's Aid society

LGBTQIA2S

Low Income/ on Social Assistance (Low income means an individual who ears less than $20,778 per year or $41,198 per year for a family of four, Social Assistance includes government income subsidy including EI, OW, ODSP, or Basic Needs Allowance)

Newcomer (means individuals who have resided in Canada for less than five years)

Person with a Disability (this includes any physical disability, mental impairment, developmental disability or learning disability)

Racialized (means groups of people who might experience unequal or different treatment on the basis of race, ethnicity, language, religion or culture)

Refugees

Single parent (self)

Unemployed

None of the above

Other:

Required

What is your highest level of education? *

Some High School

High School/GED

Some Post-Secondary

College

Bachelor's Degree

Graduate Degree

Other:

Which of the following goal setting workshop session are you interested in? *

Effective Goal Setting

Motivation Reaching Your Goal

Habits Forming

Required

Do you have clear goals and a plan to achieve them? *

Yes

Maybe... it's complicated!

Have you attended a program related to goal setting in the past? *

Yes

What are you hoping to get out of attending this workshop? *

By continuing with this application, you agree to the following terms and conditions:

If you indicated that you are referred by an organization or someone, we may share the attendance of your participation in our program(s) with the organization or person as indicated.

https://www.successaccelerator.ca/terms-and-conditions
https://www.successaccelerator.ca/media-release

Please confirm *

Yes, I have read and agree to the statement set out above and the Terms & Conditions.

Required

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