Wheel of Consent Workshop: Scholarship Application
We will be reviewing scholarship applications as they are received. We will reach out to you to schedule a 20 minute call to connect with you within a week of receiving your application.
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Email address
*
Your email
Participant Name
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Your answer
Are you someone who identifies as BIPOC?
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Yes
No
Is there anything you feel would be helpful for us to know about you and/or your current situation?
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Your answer
What is your primary reason for taking this workshop?
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Your answer
What are you hoping to take away from this workshop?
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Your answer
Are you willing to follow the group guidelines (detailed here:
https://www.tickettailor.com/events/robyndalzencoaching/459615#
)?
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Yes
No
What are barriers you can identify that might get in the way of your participation?
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Your answer
What can you do to resource your participation?
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Your answer
Is there anything about your identities that you would like us to know?
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Your answer
Is there anything you need from the facilitators to feel supported in the space?
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Your answer
Where in the world are you located?
Your answer
How did you learn about this workshop?
Your answer
Send me a copy of my responses.
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