ViP application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

ViP application

Please use this form to announce your interest in the next "VCoL in Practice" (ViP) course offered by Lectica. We will be in touch with registration information.

Email *

Start date *

YYYY

First Name *

Last Name *

Company

Profession *

Please tell us a bit about your reasons for wanting to participate in ViP. *

Are you an educator?

Yes

ViP is a practice-based course. You will be building a set of skills for learning robustly in-the-moment. You do not need to know a great deal about Lectica, our work, or our developmental framework to benefit from this course. However, if you would like to learn more about Lectica before you commit, check the box requesting background information and we'll send you a reading list.

Please send me a reading list.

Any questions about ViP?

Please check the dates & times that will work for you. *

Mondays at 11 AM New York time

Wednesdays at 5 PM New York time

Required

How did you learn about ViP? *

Check all that apply

Referral from someone who works with Lectica

Referral from a Lectica employee

A web search

Social media

Our web site

An email from Lectica

Dr. Dawson's Medium blog

Other:

Required

How interested are you in taking ViP? *

Curious

Committed

Are you thinking about becoming a certified ViP facilitator?

Curious

Committed

Clear selection

Are you thinking about becoming a certified educator, coach, or consultant?

Curious

Committed

Clear selection

Comments

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Lectica, Inc.. Report Abuse

Forms