First name *

Last name *

Job title

Company/Organization

Phone number *

What ethnicity or race do you identify as? (optional)

What are your preferred pronouns?

When / Where did you complete VOEG Phase I training? *

Who were your facilitator trainers for Phase I? *

Are you currently facilitating, or have you facilitated, a group in a carceral setting?

If you answered 'Yes' to the above question, where / when?

What do you anticipate might be challenging for you doing this work?

Have you ever been the victim of a crime? Please explain.

Have you ever been incarcerated? Please explain.

Anything else you think we should know?

IPP has a limited number of partial scholarships available. Would you like to apply for a partial scholarship to attend this training?

If yes, please indicate how much scholarship assistance you would need:

We are seeking Volunteer VOEG Facilitators for upcoming groups at several CA prisons. Please indicate if you are interested in this opportunity (an 18-24 month commitment) at any of the following institutions.

I understand that if I am selected for this training, payment in full is required prior to the training date in order to hold my space in the training. I have read and understand IPP’s cancelation policy. *

Are you able to facilitate groups in fluent Spanish with Spanish curriculum? Please describe your degree of fluency.