Application for Taking Part in the Empathy Circle Facilitator Training: Cohort 6
Thank you for your interest in joining this Empathy Circle Facilitator Training Cohort.
Please fill out this application/survey in preparation to take part.
The trainers are: Bill Filler, Lou Zweier,  with support from Edwin Rutsch EdwinRutsch@gmail.com

Signup here: https://j.mp/3jMYvDD
For more information about the training see Facebook Event:  https://j.mp/2Qit9XW
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What is your name? *
Your City and Country *
Any Organizational Affiliations *
What is your Facebook or Linkedin page URL (if you have one)?
Note new Dates: Which Sessions can you attend or not attend? *
Yes
No
Tuesday, Nov 3, 10am PST/ 7pm CEST
Tuesday, Nov 10, 10am PST/ 7pm CEST
Tuesday, Nov 17, 10am PST/ 7pm CEST
Tuesday, Nov 24, 10am PST/ 7pm CEST
Preparation: Have you seen the How to Empathy Circle Videos? (if you have not seen them, please view them before attending) *
Yes
No
Have you seen 9 min video How to Video? http://bit.ly/EC-How
Have you seen 25 min How to Video? http://bit.ly/EC-How
Preparation: How many Empathy Circles have you taken part in? (To take part we require 3 or more.)   Here are upcoming Empathy Circles you can join to fulfill the requirement.  https://facebook.com/EmpathyCenter/events/ *
Preparation: Where did you take part in Empathy Circles and who facilitated them? *
Why are you interested in becoming an Empathy Circle Facilitator? *
Where would you like to facilitate Empathy Circles?
What do you see as the benefits of Empathy Circles? *
Are there any questions that you think should be asked or improvements in this survey? If so, what are they?
Any other questions or comments? *
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