BD101 - WST 2025 APPLICATION                
Please note that your application will add you to the wait list pool. We have met our cap for attendees. You are encouraged to complete this application as we will fill wait list slots on a first come/first served basis once approved. 
Thank you for your interest in BD101 Whole System Transformation: When you mean to transform the system, including you!  Filling out this application is the first step in the process.  Your responses will be considered with deepest consideration.  If it seems right, we will reach out to have a  conversation for discerning that the timing is right to make this commitment to each other.
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1. Please provide your Name, Address & Phone Number
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2.  What led you to apply for this series?  What do you hope for yourself and your community/communities through attending this 9-month program? *
3.  Have you had previous training with an intensive personal or spiritual development focus?  If so, please list and briefly describe. *
4.  If you are applying representing or sponsored by an organization or particular community work, please supply a brief description.
5. We may want to have a short conversation to consider this potential together.  Do you have a preference for phone or video-conference?
6.  Have you attended another workshop focused on race, and/or gender, and/or class?  If so, please list and briefly describe. *
7.  RACE/ETHNICITY - How do you identify your race or ethnicity?
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8.  How do you identify your gender? (Later, if you are attending the program, we may ask specifically in reference to room assignments) *
9. Please share a poem, song or other work of art that informs how you think about liberation.
10.  Is there anything else you would like to share?
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