Mental, Emotional, Social Health for Experiential Educators Cohort Application
Thank you for your interest in BaMidbar's MESH-EE Cohort. Classes will meet on Thursdays from December 1 through December 22, from 10:00am-12:00pm MST. There will be additional opportunities for extended learning including chevrutah conversations and optional office hours outside of regular class time. This is a national cohort open to Jewish communal professionals interested in expanding their mental health literacy and exploring facilitation through the lens of social and emotional growth.
Sign in to Google to save your progress. Learn more
Name *
Pronouns (optional)
Email *
Where do you work? *
What is your current professional role? *
Street Address (We will use your address to send you a physical copy of the program workbook) *
City *
State *
Zipcode *
Why are you interested in this program? *
What do you hope to gain from the experience? *
How do the topics covered in this course connect to your professional goals? *
What training or previous experience do you already have with the course topics including mental health and wellness and experiential education? *
Are you interested in meeting with a chevrutah outside of class? (We will offer weekly, optional conversation topics and programming lab assignments to help you apply the topics we cover in class.)
Clear selection
How did you hear about this program? *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ramah in the Rockies.

Does this form look suspicious? Report

Google Forms