Cohort 13A: Application for Taking Part in the Empathy Circle Facilitator Training
Thank you for your interest in joining this Free Empathy Circle Facilitator Training Cohort.
Please fill out this application in preparation to take part.

After filling our this application, email EdwinRutsch@gmail.com and I will discuss the next steps with you via email.
Course Website:  https://bit.ly/ECCOURSE
Course Time Commitment: https://j.mp/3hzBPFS
This Form URL:  http://bit.ly/Apply-Cohort13A
Cohort 13.A Signup:  http://j.mp/SignUpCohort13A
Sign in to Google to save your progress. Learn more
Your First and Last Name? *
Your City and Country *
Greetings from a Previous Cohort!!
Any Organizational Affiliations (Are you  part of any Extinction Rebellion group, and if so, which one?) *
What is your Facebook, LinkedIn, and Website URL (if you have one)?
Session Times
Times: 10am PST/ 1 PM EST/ 6pm UK/ 7pm CET  (2.5 hours)
More about course time commitment:  https://j.mp/3hzBPFS



 Cohort 13A start dates are still to be determined. we will start once the cohort is full with 22 participants.  See more about time commitment here:  https://j.mp/3hzBPFS *
Yes
No
Session 1: Mon, May 17
Session 2: Mon, May 24
Session 3: Mon, May 31
Session 4: Mon, June 07
Session 5: Mon, June 14
Preparation: Have you seen the How to Empathy Circle Videos? (if you have not seen them, please view them before attending) see  http://bit.ly/EC-How *
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 2 or more.)   Here are upcoming Empathy Circles you can join to fulfill the requirement.  Or hold  your own. 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 application? If so, what are they?
Any other questions or comments? *
See You Soon in the Next Cohort!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms