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Application For Consideration

We're so glad this cohort experience calls to you! Thanks for submitting your application. It will take 15 - 45 minutes, depending upon your level of detail in the responses. The application does not save if you leave it - take care to do it in one sitting if you can. The deadline is June 15th, 2023, and we will announce our decisions in mid-July 2023.  

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* 1. Full name (first and last)

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* 2. Affiliation, if any (organization, company, school, etc.)

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* 3. Email Address

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* 4. Preferred name (if any):

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* 5. Phone:

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* 6. Address:

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* 7. What is your favorite song of the moment? We’ll be making a playlist from participants’ favorite songs.

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* 8. What are you listening to, reading, or watching that’s inspiring you right now? (podcasts, books, TED Talks, websites, etc.?)

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* 9. Please share a bio that speaks to your leadership experience (250 words or less):

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* 10. Please upload a headshot (10MB or less):

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 11. Why are you called to this cohort experience now? What about the invitation most spoke to you?

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* 12. Describe an experience of yourself as a power-holder (you as a CEO, Board of Directors, etc) and a moment of complexity in which you felt your values challenged. How did you navigate it?

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* 13. Describe an experience of yourself as a power-holder (you as a CEO, Board of Directors, etc) and a moment of complexity in which you felt powerful. How did you navigate it?

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* 14. How old is your child/how old are your children?

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* 15. Describe a moment of your motherhood journey that makes you proud.

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* 16. What art or creative expression are you making right now in the analog world? Tell us, in brief, how this is connected to your journey as an artist or creative.

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* 17. Shadow work is an advanced practice, and we’re ensuring all participants have the foundational personal development experience required to engage it safely. What is your history (in brief) of the personal development/therapeutic/reflective practice work you’ve done?

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* 18. What is one piece of shadow work that is up for you in your life, that you would like to work on within our community of practice? Examples include - areas of your life where you’re experiencing intense discomfort and having trouble taking responsibility for your participation in the dynamic; places where you suspect taking greater personal responsibility will serve you; etc.

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* 19. What is a ritual, skill or experience you could offer to the group? We're co-creating community and would love to know how you would invite us into something you love.

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* 20. What is one current example of how you build community and offer your skills for the greater good? This can be your day job - we're not just looking for volunteerism, we hold "building community" broadly.

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* 21. Would you be interested in building local community in your place if you are not selected for the cohort?

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* 22. What's next for you personally, professionally, in your family, etc that could be supported by this experience? We're hoping to get a sense of what's coming in your life, so we know how to meet you in this phase of your journey. 

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* 23. How did you hear about this Community of Practice Experience?

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* 24. Are you able to commit to all three of the 3-day cohort?

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* 25. I understand and agree to financially cover my own travel to and from each of the three retreats.

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* 26. Is there anything else you'd like us to know?

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