Personal Discovery Course Registration
Last name, First name *
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Faculty *
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Student # *
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E-mail address *
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How did you hear about the Personal Discovery Course? *
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Would you like to be added to the Weekly Open Circle e-mail list? *
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Have you participated in any other Open Circle or Community Volunteer Circles activities? If so, which ones? *
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Which topics are you most interested in exploring in this Series?
can't say
very interested
somewhat interested
not interested
What are my values and principles which I wish to live by?
What is success to me?
Who Am I? How can I live authentically?
What is my vision for my life? Discovering my life mission
How can I be more present in my life? Mindfulness exercises
How can I make a difference?
What other themes are you interested in exploring?
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Can you commit to attending all 4 sessions, a coaching meeting, and reflective exercises on your own time? *
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Which times work for you to have Group Sessions every week from Jan.15 - Feb. 9 ? (Please check ALL times that work for you, so that we can find one time that works for everyone) *
Personal Meaning of Success Autobiography ------ Before our first session, notice and journal about the following questions. You do not need to share your answers. You will have opportunity to talk about any insights or challenges you noticed.
• Write the first thing that comes to mind when you hear the word “Success.”
• As you grew up, who or what influenced your ideas about success?
• Thinking back through your life, what have you been told about success or what success is? (implicitly or overtly)
• How do these influences or what you’ve been told about success play out in your life now? What parts do you question or have you found another approach to?
• What challenges do you find in questioning the definitions of success that have influenced your life? What do you need in order to face these challenges?
• In your experience now, what makes you feel successful? What do you associate with success for you personally?
• What do you consider to be a meaningful accomplishment? What hinders you from feeling a sense of accomplishment? (you might think of some examples from your experiences in the past year)
• Write your own personal definition of success, starting with “Success for me means…”
Do you have any other comments, questions, or concerns?
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