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Application for Taking Part in the Empathy Circle Facilitator Training: Cohort 7
Thank you for your interest in joining this Empathy Circle Facilitator Training Cohort.
Please fill out this application/survey in preparation to take part.
The trainers are: Bill Filler, Lou Zweier, with support from Edwin Rutsch
EdwinRutsch@gmail.com
For more information about the training see Facebook Event:
https://facebook.com/events/2743543205880012/
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* Indicates required question
Email
*
Your email
What is your name?
*
Your answer
Your City and Country
*
Your answer
Any Organizational Affiliations
*
Your answer
What is your Facebook or Linkedin page URL (if you have one)?
Your answer
Which Sessions can you attend or not attend? The times are optimized for the USA to Australia times. You must commit to attending all Sessions.
*
Yes
No
Wednesday Nov 18, 3pm PST = Thursdays, Nov 19, 10am AEST
Wednesday Nov 25, 3pm PST = Thursdays, Nov 26, 10am AEST
Wednesday Dec 02, 3pm PST = Thursdays, Dec 03, 10am AEST
Wednesday Dec 09, 3pm PST = Thursdays, Dec 10, 10am AEST
Yes
No
Wednesday Nov 18, 3pm PST = Thursdays, Nov 19, 10am AEST
Wednesday Nov 25, 3pm PST = Thursdays, Nov 26, 10am AEST
Wednesday Dec 02, 3pm PST = Thursdays, Dec 03, 10am AEST
Wednesday Dec 09, 3pm PST = Thursdays, Dec 10, 10am AEST
Preparation: Have you seen the How to Empathy Circle Videos? (if you have not seen them, please view them before attending)
*
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
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 3 or more.) Here are upcoming Empathy Circles you can join to fulfill the requirement.
https://facebook.com/EmpathyCenter/events/
*
Choose
None
1
2
3
4
5
6 or more
Preparation: Where did you take part in Empathy Circles and who facilitated them?
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Your answer
Why are you interested in becoming an Empathy Circle Facilitator?
*
Your answer
Where would you like to facilitate Empathy Circles?
Your answer
What do you see as the benefits of Empathy Circles?
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Your answer
Are there any questions that you think should be asked or improvements in this survey? If so, what are they?
Your answer
Any other questions or comments?
*
Your answer
A copy of your responses will be emailed to the address you provided.
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