Healing Arts Institute (HEAI): Cohort 4 Application 2020
Final dates to be confirmed. Anticipated May 2020. Thank you for your patience as we move this program online during this time! Stay well!
Email address *
Phone number *
Your answer
First Name *
Your answer
Last Name *
Your answer
Preferred Name & Pronouns *
Your answer
Mailing Address (Street, City, State, Zip) *
Your answer
Organization Affiliation (N/A if none) *
Your answer
Referral Information - How did you hear about the Healing Arts Institute *
How do you self-identify? (please include race/ethnicity as this is a BIPOC-centered program for all; and any other identities that are important to you): *
Your answer
1. What inspired you to apply to be part of the Spring 2020 cohort of Heal? (250 words max) *
Your answer
2. What are you hoping to gain/sharpen/hone in on during the program process? (skills, experience, exchanges, etc.) (250 words max) *
Your answer
3. What are you bringing into the cohort that you would like to explore, develop, and/or exchange during this time? (values, skills, ideas, questions etc.) (250 words max) *
Your answer
4. Are you able to commit to participating in the full 30-hour commitment? (virtual) *
4b. If your response to #4 is "no" or "other," please explain:
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5. Are you in need of scholarship or sliding scale based on financial need? (limited scholarships available; if yes, you will receive a scholarship form after submitting the application) *
6. Please share anything else you would like to; thank you for applying!
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A copy of your responses will be emailed to the address you provided.
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