Assessment Event: March 2018

Welcome to a Community for International Assessment to become a Certified Trainer with CNVC

Date: Tuesday 20th of March 2018 (starting with Dinner), to Friday 23rd of March 2018 after lunch.

Our hope is to is to co-create an enriching experience where we are all actively engaged, learning from each other and with each other; deepening skills and working with feedback to support the integrity of Nonviolent Communication.

This questionnaire, which takes roughly five minutes to complete, aims to support the organisation of the event. Your support is much appreciated.

This is NOT a form for registering your interest in the event.
Please use this form ONLY when you are absolutely sure that you would like to attend the event either as a candidate- and this will have been discussed with your assessor OR you want to join our community and are ready to book your place.

Your place is held for twenty days and we ask you to pay fully to confirm your place.
When you press 'send' at the bottom of the form, you will see the payment details to confirm your place.
At the end of twenty days, if we have not received payment, your place is returned to 'available' places.

Email address *
Name *
Your answer
Surname *
Your answer
Address *
Please be precise as the information you type here will appear on any receipt
Your answer
Country *
Your answer
Mobile number *
Your answer
Do you need a receipt? *
Name for the receipt?
Your answer
Name and telephone number in case of emergency during the event *
Name followed by this format please: +(country code) their number
Your answer
Are you happy for us to share your e-mail with the other participants? *
This will hopefully support you in getting to exchange with other participants before the course and might help to facilitate journey-sharing
Your skill level in speaking English *
We will be working in English
How did you find out about this event? *
Your answer
How do you label yourself? *
If you are a registered candidate, who is your assessor?
Your answer
If you are a person interested and involved in NVC, how many days of NVC training do you have and which CT can we contact about your involvement in NVC?
Your answer
Event fee per person € *
Please tick the price which you are willing to pay. Accommodation is not included (see below). If your resources mean you are unable to contribute willingly the Community Member Fee, please contact Sandrine (mieschsand@gmail.com)
Required
For those who ticked "Assessment fee" how much are you willing to pay? (A range of 250-600 euros)
Your answer
Optional Support Amount
Your answer
Accommodation fee *
The invitation is to stay at the beautiful Castle "de Berckt" , De Berckt 1, 5991 PD Baarlo in the Netherlands (near Eindhoven). Please tick the accommodation option you'd like for the 3 days.
Captionless Image
If you want to share the room with a specific person, could you write down her/his name?
Your answer
Travel and accommodation arrangements
Please do not book travel tickets until your enrolment is confirmed in writing.
The organisers are not responsible for travel changes, so please think about taking out a travel insurance policy to cover your travel expenses.
How do you plan to travel to the place? *
If by car, which major towns will you come through?
Your answer
Arrival
Please try to arrive march 20th before 5pm for dinner at 6pm. If you are delayed, let Sandrine (mieschsand@gmail.com) know as soon as possible.
Your answer
The meals *
The venue offers breakfast, lunch and evening meals together. Do you have any special dietary requirements?
Required
AGREEMENT BETWEEN THE E-SEAT TEAM AND PARTICIPANTS
We offer these events in order to support the growth of NVC in the world. It requires organisation and many hours of planning. We take care of ourselves by making the requests below and being as clear as we can about cancellation and money. Please contact Sandrine mieschsand@gmail.com for more information or questions about the event or ask your assessor.
REFUND AND CANCELLATION POLICY
My fee will be refunded only if my place on the course is filled by someone on the waiting list or I find someone to take my place. I understand that there will be no refund if my place on the course is not filled by someone on the waiting list.
You may wish to consider taking out an insurance policy to cover the risk of illness. In the event of you cancelling, you can offer your place to someone else- there are many people on our network who do not have the funds to attend such an event.
Bank details are in the confirmation note when you submit this form. *
I understand that payment of the fee within 20 days of my enrolment will definitively confirm my booking, otherwise the reserved place will return to the pool of available places.
Required
Thank you for completing the form. Please check your typing before pressing 'Submit'
Once you press the "submit" button, you will see a confirmation note so that you can pay and definitively reserve your place.
Submit
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