*1.Contact Information(Required.)

First and last name

Phone

Email

Organization or Tribe where you work

Title/Role

Years in current role

*2.Why are you interested in participating in the Science of Hope Navigator training led by Chan Hellman? What draws you to this work at this time?(Required.)

*3.How does the Science of Hope align with your organization’s or Tribe’s current priorities or strategic goals?(Required.)

*4.What time and resources has your organization or Tribe committed to supporting project work?(Required.)

*5.How do you anticipate applying what you learn within your organization or Tribe over the next 6-12 months? Please describe a specific population, program, or system where you see this taking root.(Required.)

*6.Who will be your internal project partner or partners for the project?(Required.)

Name

Title/Role

*7.How do you see the Science of Hope advancing equity and belonging in your community?(Required.)

*8.What barriers or challenges do you anticipate could come up as you embark on this work? How will you mitigate those?(Required.)