PIPs' Launchpad Phase One Application
Thank you for your interest in PIPs' Launchpad Training Program!

This form gives our team information for your access needs, what opportunity you're interested in applying for, your preferred cohort/class time, and contact information for invoicing.

If you have questions about your application, please contact us at launchpad@principalintimacy.com.
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Contact Information
This will be used to create your invoice and to contact you about the trainning.
Name *
Pronouns
Address *
Phone Number *
Email *
Course Information
What opportunity are you applying for? *
Required
Which cohort do you prefer attending? Please note a preferred cohort is not guaranteed.  *
If you are not placed in your preferred cohort, would you be still be interested/available for the other?  *
Which time slot(s) work best for you? Classes will be Tuesdays and/or Thursdays. Please select all that would work for you.  *
Required
I agree to submit a cover letter, updated CV, signed NDA, and MHFA certification/enrolment through this form prior to the application deadline.  *
I agree to submit a Criminal Record Check (vulnerable sector) or equivalent upon acceptance into the program. *
Investment
Please indicate what currency you are pledging in. We accept CAD, USD, Euros/Pounds. 
What would be a sustainable investment for you to commit to for this opportunity? All proceeds go towards admin, our instructors, and further bursary opportunities. Upon acceptance into the program, you will be invoiced for a deposit, and then the remaining amount may be paid at the start of class or in instalments throughout the course. 

Note: if you are a Canadian citizen, GST will be added to your investment amount. Amounts are not considered when accepting applications. 
 *
If you would like to pay in instalments, how many will you need and what amount? Please note, your investment will need to be paid in full by the last day of classes in your respective cohort. 
How would you like to pay?  *
For energy exchange hours, please describe what you'd like to offer to PIP. This may include administration, social media, material sourcing, resource building, etc.  *
How many hours of energy exchange would you be willing to provide to PIP in exchange for a subsidised rate?  *
Bursary Application
If you cannot offer a monetary investment. 
Are you in need/want of a bursary to subsidise your fees beyond what you can offer? *
Required
If you need a bursary, please select which group(s) you identify with. If these are not applicable to you, you will still be considered for support. 
Please offer any context you wish to support your bursary application. 
Personal Needs
Do you have any access needs/considerations for the specific training phase you're applying for? This may include closed captioning, more time for reading materials, etc. *
Are there any further details you'd like to share with the instructors about your learning style/needs/etc.?
Media Release + Disclaimers
I consent to being in photos/videos taken over the course of the workshop for the purposes of future marketing and social media. *
If you would like us to tag you in these photos, how should we credit and/or tag you? (Instagram/Facebook)
I agree to sign an NDA, which would apply for all Launchpad offerings. NDAs can be uploaded in the application files form.  *
I understand that I must attend at least 70% of the sessions in real time, and complete all home study assignments within one week of the last session for a letter of completion. Sessions will be recorded for review and in the event a student cannot attend in real time. Students are expected to give instructors notice prior to missing a class.
Clear selection
I understand that Phases 1, 2, and 3 of the Launchpad do not certify me as an intimacy coordinator and/or intimacy director, and that participating may not qualify me to teach the content without further training to augment my knowledge. *
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