Application: Virtual Healing Circles <3

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This is an application for a series of virtual healing circles with the Latinx Therapist Action Network (LTAN for its acronym in English). Our members have been trained as circle guides and are part of a formal team within the network. The Healing Circles propose to meet virtually. Within these circles, a space is created where participants can share stories, experiences, and practice empathy, and through connection feel relief from current or past traumatic stress.

This does NOT include resolving interpersonal damage among community members. This process may consist of 2-4 Healing Circle sessions (with the possibility of fewer or more depending on the organization's request). The circles are designed to accommodate 6-12 people in total. Each session is 1.5-2 hours each. For any questions about the application, you can write to: lourdes@ltan.org

Organization's name (include website) *

Where is your organization based (City and State) *

Your Name *

Phone number *

Email *

Why would you like to facilitate a Healing Circle in your organization? *

Who would be the participants in this Circle? Check all that apply. *

People who are part of the immigrant community

Organizers of the organization

Both

Other type of community

Required

What topic or issue do you want to structure the circle around?

How often do you imagine the circle sessions taking place, and how many sessions do you imagine?

This process may consist of 2-4 Healing Circle sessions (with the possibility of fewer or more depending on the organization's request). The circles are designed to accommodate 6-12 people in total. Each session is 1.5-2 hours.

Once per month

Twice per month

Other:

What days and times do you have in mind for these circles to take place?
*

The Healing Circle process requires several meetings. Partner organizations must participate in the following meetings:

- Informational meeting between your organization and the LTAN team: 30 minutes.

- Initial coordination meeting: 1 hour in length and includes 1-2 designated people from your organization, the guardians, and LTAN staff.

- Orientation meeting: Depending on the needs of the Circle participants, this can last half an hour or an hour.

- Debrief meeting: We ask that a representative from your organization join for half an hour to share experiences from the process.

Please indicate if your organization agrees to this commitment and is willing to hold these virtual meetings as part of the process.
*

Yes, I understand the commitment and if we are willing to have these meetings as part of the process.

I cannot commit to participating in those virtual meetings at this time.

A Circle can consist of 1-5 sessions (or less or more sessions depending on the needs of the org) and can accommodate from 6-12 people.

It is guided by two of our network's healing circle keepers. Each circle keeper will receive an honorarium for their support.

Would your organization be able to pay an honorarium $300-$1000 to the circle keepers?

NO organization will be turned away for support for inability to pay honorariums.

Yes, we have the budget to cover the full fee for the 2 circle keepers

We only have the budget to cover the fee for 1 circle keeper.

We have a some funds to offset part of the circle keepers' fees.

We are unable to cover any portion of the fee at this time.

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