Writing Your Spiritual Autobiography

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

Registration is now closed for this course. Please email kmesner@heartstoryconsulting.com for information on the next round of this course, later this year.

Email *

What is your name? *

Is there anything you'd like me to know about your pronouns?

What is your phone number? *

Where are you located? (City and State/Province/Country) *

What time zone are you in?

Pacific

Mountain

Central

Eastern

Other

Clear selection

What access needs would you like me to be aware of?

How did you hear about this course? If we are new to one another, please tell me just a bit about yourself, and what drew you to this course. *

This group meets on Saturdays once a month, from 3-5pm, Eastern Standard Time. Meeting dates are: 2/26, 3/26, 4/23, 5/28, and 6/25.. Members are asked to attend as consistently as they are able, to support group continuity. Registration fees remain the same for each five month period, even if a participant misses a meeting. Class recordings will be provided for participants who need to miss a class. *

I understand the attendance framework outlined above.

Required

Sliding Scale Framework: I am grateful to Eli Conley for inspiring my approach to sliding scale. (https://www.eliconley.com/group-classes.html). I hope this framework is helpful for you as you discern your own level of payment for the group. Money can be challenging territory for a lot of us; I invite you to hold this discernment work gently, trusting your own wisdom, and with self care.

Redistributor: $200 (Unlimited spots) Consider paying at this level if one or more of the following apply: You are comfortably able to meet your basic needs, own a newer car and/or a home or rent a higher end property, have access to financial savings, have reliable work or do not need to work to meet your needs, have investments, can afford to travel every year, have expendable income.

Payer Forward $175 (Unlimited spots) *This is the true cost of the class, and the tier I need most people to choose in order to cover my expenses and pay myself a living wage.*** Consider paying at this level if one or more of the following apply: you sometimes stress about meeting basic needs but still regularly achieve them, are able to buy some new items and thrift others, can travel every couple/few years without burden, have some debt but it does not prevent access to basic needs/wants.

Sustainer $150 (Four spots) Consider paying at this level if one or more of the following apply: have very limited expendable income, are unemployed or have unstable employment but are still able to meet basic needs, have little or no access to savings or financial support from family, have higher debt that requires some sacrifices on needs/wants.

Pay What You Can $75-125 (Two spots) Two pay-what-you-can spots are available in this course for folks who would not otherwise be able to participate. Priority is given to people who identify as Black, Indigenous, and/or People of Color, trans women and trans femmes, folks raised working class or poor, and people with disabilities. Please consider this option only if you struggle to meet your basic needs and paying would be a significant hardship.

Clear selection

If you choose the Pay What You Can option, what rate are you requesting to pay in that range?

Group Fees: The group fee you selected above is due in two installments: a 50% deposit when you register, and 50% on the first day of our class, which is Feb. 26, 2022. The deposit is fully refundable up to Feb. 12, 2022, (two weeks prior to the start of the group). After that, the deposit is non-refundable, unless someone else from the waitlist is able to take your place in the group, in which case your deposit will be fully refunded. If this creates a hardship, please reach out to me to work out a scheduled payment plan. *

I understand and agree.

Other:

A 50% deposit is required now to hold your spot in the group. How will you pay your deposit? *

By paypal at paypal.me/KerrMesner

By venmo at @kerr-mesner

I need an invoice

Please type "yes" below to confirm that you have paid your deposit; please email me if you need to arrange a payment plan. *

Thank you for taking the time to complete this form. I'm looking forward to our time together! Do you have any questions for me?

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms