Interest Form - Resilience, Values & Mindfulness in the Workplace

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Please answer this brief questionnaire so that we have a sense of what you're interested in getting out of this workshop. We will be reviewing all forms and will be in touch with next steps. We are admitting people on a first-come first-served basis. Looking forward to meeting and working with you!

Gerry Fontan, PhD and Jen Chau Fontan, MS

Email *

Full Name *

Phone number *

Your gender pronouns:

I am interested in attending this workshop because... *

I hope to achieve the following through this workshop: *

Have you done any prior work around resiliency, values, and mindfulness? If so, please explain. *

Anything else that you think would be helpful for us to know about you? *

If you'd like to be added to our mailing list so that you are notified about future events and workshops, please indicate that here. *

Yes, please notify me about future opportunities.

No thank you.

A copy of your responses will be emailed to the address you provided.