Thank you for your interest in attending PINK Institute Advance Intercultural Leadership Development. Please complete the following application to participate in PINK Institute Intercultural Leadership Development on October 28-30, 2019. The focus of this session will be intercultural leadership development. We would like learn a bit about you, your goals for attending, and how you might use this work. In addition, we are asking some identification questions because we intentionally want to foster a diverse learning community.

Once your application is accepted, we will send you payment options for the $1,400 participant fee for one and $1200/each for 2+ participants. (Limited to 30 participants)

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* 1. Your contact info:

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* 2. We do not make assumptions about gender identity based on presentation; please share your pronouns (for example: they, she, he, I prefer you just use my name)

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* 3. Feel free to share parts of your identity that you'd like us to know about (for example racial identity(ies), sexual orientation, religious/faith background, gender/gender identity, class background, etc).

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* 4. We will be providing breakfast and lunch each day. What do you need us to know about your food needs? (vegan, vegetarian, gluten-free, allergies, religious/cultural, low-glycemic, etc.)

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* 5. We want to ensure an accessible learning environment. As we select meeting rooms and plan content, what do we need to know about your physical/cognitive needs and abilities? Put another way, what would help you do your best learning?

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* 6. Have you taken the Intercultural Development Inventory (IDI) before? If yes, how recently?

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* 7. Tell us about your interest in attending this workshop?

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* 8. What is one leadership challenge you are experiencing in your work/community as it relates to cultural dynamics?

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* 9. What is one leadership opportunity you are experiencing in your work/community as it relates to cultural dynamics?

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* 10. How do you plan to utilize the information and skills learned during this workshop?

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* 11. This workshop will be most successful if...

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* 12. How did you learn of PINK Institute?

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