Application Form: WisdomWomen Visionary Gathering in Nicaragua
Thank you for applying to this gathering! You can expect to receive a response within 1-week of applying. We appreciate getting to know you in this way. **MEMBERS: You do not need to re-apply. Just email firstname.lastname@example.org for the link to register.**
Your first name
Your last name
Your e-mail address
Why do you feel called to attend this gathering?
Please give us some brief information about your professional background, things you have been or are involved with or done.
What is your preferred accommodation?
You can find accommodation and pricing information here:
Your age range
We intend to bring together a diverse and colorful group of women. If you feel comfortable, please share with us your racial, ethnic or cultural identity or background.
Do you identify as transgender, queer, gender fluid or something other than cisgender woman?
(Cisgender means you identify with your biological gender as a woman)
Have you attended a WisdomWomen gathering before? If so, which one(s)?
How did you hear about this gathering?
WisdomWomen website or newsletter
WisdomWomen member (please specify who below)
We ask for your consent to use photos captured at this gathering - we are always thoughtful and considerate in what we use.
I consent to be video and photographed by WisdomWomen; to use my name in connection with these recordings; and to use, reproduce, exhibit, or distribute these recordings in whole or in part in the media (including but not limited to print publications, video tapes, internet and any other electronic or other medium) for any purpose that WisdomWomen deems appropriate, including promotional, recruiting, advertising and any commercial or non-commercial use.
Is there anything else you would like us to know?
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