Humanity First- Embodied Leadership Training 2022-2023
Welcome, we are so excited you are here and applying for Humanity First.  Please find the application below.  

HUMANITY FIRST TRAINING DATES:
May 1-6th, 2022 Opening Retreat- Pachamama Yoga Boutique & Retreat Hotel, Todos Santos, Mexico
August 19-21, 2022
October 21-23, 2022
January 13-15, 2023
March 10-12, 2023
April 21-23, 2023
*  Dinner and closing celebrations and ceremonies on Sunday

Location:
Una Vida Movement and Meditation
7960 Niwot Rd Suite B12
Niwot, CO

$6,950 Tuition
$1,200 additional if you are requesting a private room on retreat in May

$1,000 non refundable deposit as we are obliged to fulfill our reservations with the resort the moment you reserve with us.
Payment plan available upon request
All tuition paid in full prior to the start of training May 1st, 2022

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Email *
How did you hear about Humanity First? *
Name *
Pronouns *
Address *
Cell or Contact Phone Number *
Birthdate *
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Emergency Contact Name & Phone Number *
Shirt Size *
Wrist Size (please measure) ie: 3 inches *
Dietary Restrictions/Allergies *
Current Profession *
Please tell me about your formal and informal education, trainings and certifications. How have they paved the way for this training? *
Please list any medication you are presently taking. *
Please list any significant surgeries or treatments you've participated in over the past year.  What is their impact on you? *
Please describe any physical or mental health circumstances that might affect your participation in this program.   How will you get support for yourself during the year? *
Please feel free to add any other health-related information that would be useful for you to share or us to know. *
What about this training speaks to you and why? *
Tell us about your history in the world of embodiment and mindfulness such as yoga, meditation and other practices. *
Who and what have had the biggest impact on your personal development? *
Describe your personal practice(s)? *
How does your practice serve you and where might it be lacking or coming up short? *
This training includes work in the realms of: psychology, psychiatry and neurology, mental health, spirituality, eastern based principles and modern thought provokers.  In the past 2 years, what books or podcasts in this realm caught your attention, woke you up or are on your list? *
Given the intensity of the emotional work of this training, who what is your support system (please be detailed)? Please include HOW you feel supported by this system. *
What fears or concerns do you have about this training? *
Please tell me about how you are currently leading in your life. Your who, what, where and why. *
What is essential about you that’s invisible to the eye? *
Please share what inspires you--include your hobbies, interests and passion(s). *
Where in your world do you notice patterns of self aggression, destruction or sabotage? I want to hear your insights and practices to work with yourself around them.
What else would be helpful for me to know about you? *
In your experience, what makes a great leader and what makes a poor leader? *
What would you need to add or subtract to make yourself the best version of you as a leader? *
If you are accepted into the Humanity First program, you will participate as an individual and as a group member.  As such, please rate your willingness on a scale of 1 to 5 to . . . Risk vulnerably? *
Not So Much
Absolutely Committed
Participate fully? *
Not so Much
Absolutely Committed
Ask for help or support? *
Not so much
Absolutely Committed
Spend time outside your comfort zone? *
Not so much
Absolutely Committed
Share yourself fully? *
Not so much
Absolutely Committed
Learn & grow beyond what I know or have already done? *
Not so much
Absolutely Committed
Offer support or help to others? *
Not so much
Absolutely Committed
Take radical care of myself? (perhaps for the first time) *
Not so much
Absolutely Committed
Commit to the training and the process in its entirety? *
Not so much
Absolutely Committed
What to expect:  Once you have submitted your application you will be notified we have received it.  We will contact you to set up an in-person or telephone interview to complete the application process.  We will inform you of our decision within 60 days of your application.  If accepted, we will offer you the first available spot in the next available training. Thank you for your interest, your application and for letting us get to know you. We hope to see you in Humanity First!  Please direct all questions and/or inquiries to Kellie Brown- kelliebrown@humanityshared.com
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