Application: The Well-Held Space: Creative Facilitation Training with Holly Stoppit 2021 ONLINE VERSION
This form is to apply for a place on the ONLINE VERSION of The Well-Held Space: Creative Facilitation Training with Holly Stoppit 2021.

This course is set to take place ONLINE via Zoom on the following dates:
 
Sat 23 & Sun 24 October
Sat 20 & Sun 21 November
Sat 11 & Sun 12 December
Plus a one-hour one-to-one online session with Holly in the week of 12 December.

Times: 10am-5.30pm all days

More info about the course here: https://www.hollystoppit.com/workshops/the-well-held-space-creative-facilitation-training

If you're looking for the In-person version of this course, click here: https://forms.gle/FGMSr91z26X9uXvHA

Applications
This course has an application process to help us gather a little info about you, to make sure we're a good match for each other. The form also allows us to learn how we can support you through the journey. Deadline for applications: Monday 6 September but we will be interviewing people and allocating places before that.

1. Complete this short application form
2. All eligible candidates will be invited for an interview with Holly on Zoom
3. If you are accepted for a place we will send you payment details
4. Once you have paid your place will be secured and we will send information about the course, the venue, what to bring etc.

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THE INFORMATION WE COLLECT
The health information we collect is only used to assess the kind of support you might need to get the most out of the course. We will delete it when the course is over.
We will only use the email address you have provided to contact you about this course (unless you consent to being on our mailing list). We never share your information with anyone else.
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Your Name *
Where are you in the world? (the course takes place live from the UK - so we need to make sure you're in a time zone that will work!) *
Your Phone Number *
Your Email *
This is how we will contact you - please make sure it is correct.
Have you taken any of Holly's courses before? If so, which ones have you taken and when? *
What is your facilitation experience? *
What particularly appeals to you about this course? *
What fee do you wish you pay? *
If you have requested a 'no income' place:
These places are limited. Please state your reason for requesting a 'no income' place and how the training might be of benefit to you and ultimately other people.
Do you have any medical / physical  / mental health conditions that may effect your time on The Well-Held Space Facilitation Training course? Please let us know any additional support you may need to get the most from this course. *
Are you available for all the dates? (23 & 24 October / 20 & 21 November / 11 & 12 December plus a one-hour one-to-one session with Holly in the week of 13 December) *
Self Care *
Holly is a qualified and registered dramatherapist and will make every effort to keep you safe in the work and there will always be an option to sit out of exercises. However, it is ultimately your responsibility to look after yourself during the training. Does this all sound OK to you?
How did you hear about this workshop? *
Please be as specific as you can - it really helps us with planning/targeting publicity etc. If you saw this on Facebook, what page? If it was in a newsletter, who from? If it was word-of-mouth - tell us who's mouth! Thanks
Can we keep in touch? *
We would like to add you to our mailing list to tell you about future Holly Stoppit Workshops & The Online Clown Academy courses and other HSW news - please tick the box to give your CONSENT to being added to the mailing list - or to staying on the mailing list if you are already on it. Thank you.
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