Personal Discovery Course Registration (winter 2017)
Last name, First name *
Your answer
Faculty *
Your answer
Student # *
Your answer
E-mail address *
Your answer
How did you hear about the Personal Discovery Course? *
Your answer
Would you like to be added to the Weekly Open Circle e-mail list? *
I am a... *
Which times work for you to have Group Sessions every week from Jan. 9 - Jan. 30? (Please check ALL times that work for you, so that we can find one time that works for everyone) *
Which topics are you most interested in exploring in this Series?
can't say
very interested
somewhat interested
not interested
What are my values and principles which I wish to live by?
What is success to me?
Who Am I? How can I live authentically?
What is my vision for my life? Discovering my life mission
How can I be more present in my life? Mindfulness exercises
How can I make a difference?
What other themes are you interested in exploring?
Your answer
Can you commit to attending all 4 sessions, a coaching meeting, reflective exercises on your own and submitting a brief weekly reflection. *
Your answer
Personal Meaning of Success Autobiography ------ Before our first session, notice and journal about the following questions. You do not need to share your answers. You will have opportunity to talk about any insights or challenges you noticed.
Do you have any other comments, questions, or concerns?
Your answer
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