Application Form
Thank you for your interest in the How to Hold Space program. The only individuals eligible to attend this program are Compassionate Systems Master Practitioners. We look forward to receiving your application.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Organization *
In which city and country do you live and work? *
Which certification program did you previously or currently attend? *
Participant Commitments *
We ask that participants commit to (a) attend 100% of the week-long in-person retreat convening, (b) attend 100% of the two-day virtual closing convening, (c) attend at least 3 of the 4 program community calls, (d) attend at least 3 of the 4 global contemplative calls, and (e) develop and maintain a regular contemplative practice. Please share below if you agree to these commitments.
Photo Release Permission *
I hereby grant permission to the Center for Systems Awareness to use photographs and/or video of me taken during the workshop in publications, news releases, online, and in other communications related to the mission of the Center for Systems Awareness. Please share below if you agree.
Required
Recording Permission *
I hereby grant permission to the Center for Systems Awareness to record the program and use it in post-convening resources, publications, news releases, online, and in other communications related to the mission of the Center for Systems Awareness. Note: Individualized support sessions with guest faculty will remain private and accessible only to each practitioner. Please share below if you agree.
Required
Contact Information *
We will compile and share a participant list that includes cohort members' names, positions, organizations, location, and email to help cohort members stay connected. Please share below if you agree.
Required
Please share any special considerations we should be aware of
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Center for Systems Awareness. Report Abuse