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Facilitator Training Interest Form
100 Cups of Coffee Transformative Dialogue Project
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Option 1
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Option 1
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cabbott-barish@dutchessmediation.org
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email
Option 4
phone
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Please choose one of the dates to attend training.
November 18 &19 (Sat/Sun)
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What is your connection to Poughkeepsie?
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I live in Town Poughkeepsie and work in the city of Poughkeepsie.
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Option 1
live in city of POK
Have you attended a 100 Cups of Coffee event?
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Yes
I enjoyed attending and collaborating with others to better our community
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Our goal is to have 20 conversations over the next year. Are you able to participate as a co-facilitator at (3) 100 Cups conversations in the City of Poughkeepsie over the next year?
Yes
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How did you hear about this training?
E-mail
Other:
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Is there anything else you want us to know about your interest in becoming a facilitator? I work at a non profit that supports Individuals and families in conflict.
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Space is limited. Attendance at both days of training is required. Are you able to attend both days?
Yes
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