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Champions Track Application Form
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First and Last Name
Your answer
Email
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Cell phone number
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What is your "why" for applying to serve as an SLC Champion?
Your answer
What do you hope to be able to do as a result of participating in the Champions Journey? How do you see yourself contributing to our collective efforts to bring the P.A.U.S.E. model to schools and communities?
Your answer
What will you uniquely contribute to our cohort learning community? What do you hope to add?
Your answer
Please describe where you are at with nurturing Self-care and where you hope to be by the end of the Champions journey.
Your answer
Please explain why this is the right time for you to engage in the Champions Journey? (Consider other life commitments, current challenges, your health, where you are at professionally)
Your answer
What experience do you have with studying and experiencing IFS out side of the Self-Leadership Collaborative? (Therapy, Coaching, Workshops, Books)
Your answer
Champions are leading their community to practice P.A.U.S.E. What is your experience as a leader and teacher? What strengths and skills will you bring to your role as a Champion?
Your answer
What do you see as parts of you that may block or challenge you from realizing your full capacity as a Champion? What parts of you would you like to befriend with this year to optimize your role as a Champion?
Your answer
If strong parts of you emerge during the Champions journey, what resources, supports and IFS practitioners can you access to support you with your personal work? (Please note disclaimer below that the Champions Journey is not a therapeutic group)
Your answer
All workshops and resources offered by the Self-Leadership Collaborative are designed as educational learning experiences and
processes
to support your personal study and application of the P.A.U.S.E. model
. The Self-Leadership Collaborative resources and events support individuals and communities to learn the knowledge and skills to support their own social and emotional well-being and to inspire others to do the same. These events are not designed as therapeutic groups or interventions. They are not intended to provide or replace any form of treatment from a licensed mental health provider. Should the need for therapeutic treatment arise, you are responsible to seek professional support outside of the resources provided by the Self-Leadership Collaborative. By checking "YES" below, you acknowledge that you have read and understood the above statement.
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Do you have any questions for us about the Champions Journey?
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