CWL Training Application 2017 Question Title * 1. Training Locations. We select training locations that offer comfortable but mostly shared sleeping arrangements, natural beauty, great organic food, privacy for the group and that are no more than 2-3 hours from an airport.Please select the training session that you would like to attend. April 30th - May 5th, 2017 (Applications due by February 15, 2017) Earth Matters Retreat Center in Ben Lomond, California In the heart of the redwoods. July 23rd - July 28th, 2017 (Applications due by May 7, 2017) Ocamora Retreat Center in Northern New Mexico in a pristine mountain valley at high altitude (7500’). Question Title * 2. How did you hear about CWL? Bioneers Trainer and Facilitator Talk you heard in person Radio Interview CWL Alumna (please let us know who!) Social Media Print Magazine Word of Mouth Other (please specify) Question Title * 3. Contact Information Name Date of Birth Age Email Address Address (Line 1) Address (Line 2) City State Zip Code Home Phone Cell Phone Work Phone Organization or Company with whom you work Position Please tell us in 1-3 sentences about the primary focus of your work and your leadership Question Title * 4. How would you like us to contact you? Home Phone Cell Phone Work Phone Email Question Title * 5. Cost of TrainingCost for the 6-day CWL intensive is:$1950: Earth Matters - Ben Lomond, California$1950: Ocamora Retreat Center - Northern New Mexico This fee includes tuition and materials, comfortable lodging, healthy organic meals, and the support of three facilitators.Are you able to pay the full cost of tuition on your own? Yes No Question Title * 6. If not, might you receive funding from your employer or institution to attend this CWL workshop as professional development? Yes No Other (please specify) Question Title * 7. If not, might you be able to raise the balance, either online through a crowdfunding campaign or from circles (either professional and/or personal) you know? Yes No Other (please specify) Question Title * 8. Do you need financial aid from CWL to attend? Yes No Question Title * 9. Financial Aid Because we aim to gather a diverse circle of women, we hope to remove obstacles for women who are in need of financial assistance in order to attend.CWL offers a limited number of scholarships, prioritized for lower income women of the region where the retreat is held. In order to apply for a scholarship, please indicate the amount that you can pay toward the total costs, and the scholarship amount needed. Please understand that, since many women request support, full scholarships are rarely possible (please note: all participants are required to pay a minimum investment of $250 toward their tuition). Scholarships will be awarded 4 to 6 weeks prior to the training start date. What level of financial aid are you applying for? Please choose only one option from below or explain further in "Other." I am requesting $700 in scholarship support I am requesting $950 in scholarship support I am requesting $1250 in scholarship support I am requesting $1400 in scholarship support I am requesting $1700 in scholarship support--with a minimum payment of $250 towards my tuition. Note: this is rarely awarded. Other (please specify) Question Title * 10. Please describe your financial need in applying for a scholarship to attend CWL. This may include employment, housing, schooling, familial or other factors that directly affect your finances. Question Title * 11. International Applicants:CWL does not currently have the administrative support necessary to navigate obtaining visas, nor do we have travel funding available for international applicants. Do you have access to travel funding and/or administrative support available to assist with any necessary paperwork, should you be accepted into the CWL cohort? Yes No Other (please specify) Question Title * 12. Personal InformationCWL is interested in overcoming the barriers that divide women. We gather a group of 18 to 24 women that is diverse in terms of race, class, age, sexual orientation, personal and professional backgrounds and issue focus.The selection process is designed to optimize diversity in all ways within the group, and to prioritize access for women of the region in which the training is offered. Because we want to gather a diverse group, it is helpful for us to know something about your background, social identities, professional and issue interests. Please briefly describe yourself in relation to these areas and the elements of diversity described above. Question Title * 13. In what ways have you practiced leadership? Where do you imagine your leadership taking you in the next one to two years? Question Title * 14. How do you imagine that the CWL training may benefit you and the community or communities that you serve? Question Title * 15. What do you think you might uniquely bring to a wide-ranging group of women? Question Title * 16. Please tell us about any experience that you have had participating in racially diverse groups and/or engaging with the issues and expressions of racial justice, white privilege, or overcoming oppression. Question Title * 17. Special NeedsAre there any special considerations we should know about regarding your lodging, dietary, physical, or facilities needs? Question Title * 18. Donate to the CWL Scholarship FundPart of CWL's magic and uniqueness is directly related to the diversity in each cohort, which is only possible through scholarship support. Please indicate below if, in addition to your own costs, you are able to donate to our scholarship fund. Your donation is tax-deductible. Yes No If Yes, how much would you like to donate? Next