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Unapologetic Empire Membership Application
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Email
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Your email
What is your First and Last Name
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Your answer
What is your mailing address?
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Your answer
Why do you wish to join the Unapologetic Empire?
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Your answer
What has been your experience with abusive relationships?
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Your answer
What relationship patterns do you struggle with most?
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Your answer
Will your attendance and participation in the Unapologetic Empire jeopardize your safety in any way?
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Yes
No
Maybe
Do you understand the purpose of the Unapologetic Empire is to give consistent SUPPORT to women, through regular virtual support groups (Goddess Circles), as they learn the skills needed to overcome relationship PATTERNS and IDEOLOGIES that continue to keep them stuck in a cycle of destructive relationships?
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Yes
No
Do you commit to participate in the Unapologetic Empire in a constructive way, offering your experience, strength, and hope, only when it is asked for, and never giving unsolicited advice?
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Yes
No
Do you commit to avoid dominating the support groups (Goddess Circles) with your own struggles/successes and commit to holding a safe and equally inviting space for all who participate?
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Yes
No
Do you commit to keeping our group meetings private and confidential (meaning no one else will be present in the room with you that can see or hear the other participants while attending the meeting)?
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Yes
No
Do you commit to stick to group topics and avoid divisive political or religious topics?
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Yes
No
Do you commit to attending at least one Goddess Circle a month?
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Yes
No
Do you understand your membership will remain at the discretion of Jillian Aurora and Goddess LLC and that, if your participation ever becomes dishonoring or destructive to the membership as a whole, you will be removed from the group?
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Yes
No
Do you understand that if your membership participation becomes inactive for 60 days, you will automatically be removed from the group?
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Yes
No
A copy of this completed application will be sent to the email address you provided. Please allow 7 days for application processing. A member of the Goddess team will be with you shortly.
A copy of your responses will be emailed to the address you provided.
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