Woman Within International Application for Programs
APPLICATION FOR NEW PROGRAMMING
Thank you for your interest in submitting a proposal to Woman Within International. We so look forward hearing about the inspirational program you have to offer.
Please complete this application in its entirety.
Once completed, you will be sent an email acknowledging your submission, which will include a pdf document of your submitted responses.
PROCESS
The Woman Within Programming Committee accepts completed Applications through online submission.
The applicant can attach supporting documentation to the application form (more details below).
The applicant will receive a confirmation of submission email with a pdf document of their submitted responses.
The Programming Committee will review and discuss the application at their monthly meeting; normal turnaround time is 60 days.
The Programming Committee may request an interview with the applicant.
If this program has not been previously offered, the Programming Committee may request a pilot, additionally they may request that a Director of Woman Within attend the program before final approval is given.
The Programming Committee will meet and make a recommendation to the Board for review and vote.
A member of the Programming Committee will notify the applicant of the outcome or next steps.
REQUIREMENTS
Please be sure send all the following supportive documentation to programming@womanwithin.org. Please use the title of your workshop as the email header so it is easy for us to identify it.
*Any brochures/flyers or other informational pieces for this program.
*An outline or agenda detailing timings and name of each session for the program.
*Testimonials/feedback from participants.
*Any other relevant supporting documents or additional pages.
APPLICANT INFORMATION
Full Name *
Primary Contact
Your answer
Author’s Name(s): *
Your answer
Preferred Phone: *
Your answer
Email: *
Your answer
Mailing Address: *
Your answer
PROGRAM INFORMATION
Name of Program: *
Your answer
What are the overall objectives of this program? Be sure to include what participants will gain: How does this objective fit the mission of Woman Within? *
Your answer
What are your qualifications to lead the program? *
Your answer
Has the leadership expanded beyond the creator of the program? *
Your answer
Is there a leadership training program planned? *
If yes, please describe:
Your answer
Who are the intended participants? *
Your answer
Are there any pre-requisites? *
Your answer
What is the minimum and maximum number of participants? *
Your answer
What is the suggested registration cancellation deadline, outside of the facility contract cancellation penalties? *
Your answer
Is a follow-up program recommended? *
If yes, please describe.
Your answer
Who will lead it? *
Your answer
Are there written protocols? *
Your answer
Trademark or copyrighted? *
Has this program been offered before? *
When and where? *
Your answer
How many times? *
Your answer
Is the program residential or nonresidential? *
What is the length of the program? *
Your answer
What kind of facility is needed? *
Your answer
Any special requirements or supplies needed? *
Your answer
Projected costs? *
Your answer
For WWIL hosted workshops, we use a “sliding scale” presenter fee structure. The presenter determines the base fee based on X minimum number of participants for the workshop. The presenter may determine an increase amount of $X for each participant (or each group of 2-3) over minimum up to the maximum of X participants for the workshop and $X total presenter fee.

Please note that Woman Within may perform a cost analysis for further discussion.
What is the suggested tuition? *
Your answer
What is the leader’s estimated travel cost? *
Your answer
What is the leader’s estimated lodging cost? *
Your answer
Is the leader open to housing provided by a local community member? *
How many support staff are needed? *
Your answer
What are the criteria for selecting support staff? *
Your answer
SIGNATURE
By signing this form, indicates full understanding and acceptance of the information, terms and conditions outlined on this form.

Please print your full name and today's date below:
YOUR NAME *
Your Name *By printing my full name below, I agree that all information provided in this form is true and correct. Writing your name constitutes an electronic signature which is legally binding and has the same legal status as handwritten signatures throughout the United States, under the ESIGN Act and the Uniform Electronic Transactions Act (UETA).
Your answer
DATE *
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