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APPLICATION FORM - 6-MONTH CORE IMMERSION PROGRAM 2015-16
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Indicates required field
Name
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First
Last
Address
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Email
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Phone Number
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Birthdate
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How do you identify? (gender identity, ethnic background, sexual orientation, class, anything else that makes you who you are.) We ask because we value diversity, the opportunity to create safe space, and want to know how to best meet participant needs.
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How did you hear about EOL?
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What is calling you to participate in the Ecology of Leadership at this time? What do you hope to gain from participating?
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How are you currently serving in the world? Where are you engaging your leadership?
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Do you currently serve an organization? If so, which, and what is your role? Please provide a website if there is one.
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What passions, interests, and gifts do you bring?
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What is one big dream you hold for your life or service in the world?
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What is going really well in your life and leadership right now, and where are you experiencing the greatest challenges? Briefly describe.
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What part of your life do you feel most called to grow right now, and what aspects of your leadership do you want to develop at this time?
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Are there any conditions or personal needs that you feel are important for the facilitators to know about, or current life circumstances that might prevent you from fully participating in the program?
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Each weekend starts at 9am on Friday and ends at 5pm on Sunday. Participants are expected to stay on site for the entire weekend, and to participate fully in all 3 days. In between sessions, you will be given assignments that may take around 6-10 hours of time each month. Can you foresee any challenges meeting these requirements?
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Are you able to attend all 6 weekend sessions including evening programming? November 6,7,8th, December 4,5,6th, January 15,16,17th February 12,13,14th, March 11,12,13th, Apri 8,9,10th. If you know of a conflict, please describe.
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Do you feel willing and able to fully commit to the program if admitted? If not, please describe what is in the way of that.
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Submit