Empathy Circle Facilitator Training Application: COHORT 35: August 17 & 18 2024

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This training is now FULL however you can still fill out an application to be put on the waiting list.

Our next in-person training will be in August.

Thank you for your interest in joining this Empathy Circle Facilitator Training Cohort.
Please fill out this application in preparation to take part.

DATES: AUGUST: Saturday 17 and Sunday 18 2024
TIME: 9:30 am - 4:30 pm PST each day (9-5 for trainees
LOCATION: The Empathy Center at 1964 Canoas Rd. in Santa Barbara.
COST: By Donation

Email *

First and Last Name *

City and Country

Phone Number

Do you have any organizational affiliations

How did you find out about this training? *

Have you seen the How to Empathy Circle Videos?

(if you have not seen them, please view them before attending) see http://bit.ly/EC-How *

Yes

Have you seen 9 min video How to Video? http://bit.ly/EC-How

Have you seen 25 min How to Video? http://bit.ly/EC-How

How many Empathy Circles have you taken part in?

(To take part we require 2 or more.) Here are upcoming Empathy Circles you can join to fulfill the requirement. See https://empathycircles.com/schedule
Thursday Empathy Circle Cafes 6pm PST: https://bit.ly/3VNiY0g *

Where did you take part in Empathy Circles and who facilitated them?

(if you remember)

If you have not yet participated in any circles, which circles do you plan to join before the training?

Here are upcoming Empathy Circles you can join to fulfill the requirement. See https://empathycircles.com/schedule
Thursday Empathy Circle Cafes 6pm PST: https://bit.ly/3VNiY0g

Have you taken the Facilitator Training before?

(Training to become a trainer is available to those who have taken at least one facilitator training. They will be helping to teach the training. You are also welcome to attend multiple times just as a participant) *

This is my first training/ I am attending as a participant

I took the facilitator training before and am training to become a trainer

Required

If you are training to become a trainer, what number training will this be participating as a trainee?

Why are you interested in becoming an Empathy Circle Facilitator? *

Where would you like to facilitate Empathy Circles?

What do you see as the benefits of Empathy Circles?

We may record and post parts of the training sessions to social media or our website for educational and promotional purposes. *

Yes: I agree to be recorded for educational and promotional purposes

No: I do not want to be recorded. (Check with us to see if we can accommodate your needs)

Overnight Accommodations:

If you wish to book accommodations at the empathy center, after you submit this form you will have an option to fill out the Accommodations Application.
It can also be found at www.theempathycenter.org/events/ecftsb

Are there any questions that you think should be asked or improvements in this application? If so, what are they?

Any other questions, comments or needs not addressed above? *

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

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