Rewilders Guide Training Application 2022-23
WAIT LIST: Please complete the application to be put on the waitlist for this training. It is likely that space will open up. Waitlist applicants will be notified as soon as a space becomes available.
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Email *
Name (first) *
Name (Last) *
Preferred Name and Pronouns
Phone Number *
WHY THE REWILDERS' GUIDE TRAINING?
Please share your intentions for participating in The Rewilders' Guide Training. *
If this training were a wild success for you, what would that look like? *
 What do you hope to gain from participating in this program personally and professionally?
What do you see as the ways you will contribute and be of support to the group's participants?
Please list any therapeutic or coach training programs you have already completed. *
Program Requirements
- Participate live in the six weekend trainings and review recordings for any missed segments.

Weekend Dates:
October 14 - 16, 2022
November 11 - 13, 2022
December 9 - 11, 2022
January 27 -29, 2023    
February 24 - 26, 2023
March 24 - 26, 2023

- Record at least one session per month with a client for personal review and respond to homework.
- Submit one recorded session for review with your mentor guide.
- Committed to doing the inner and the outer work of being a guide and building a practice.
- Participate in monthly peer guiding session.
- Participate in twice monthly supervision meetings regularly.
- Be actively providing coaching sessions during the time of the training either with paid or unpaid clients.
- Be available for 1 hour of free 1:1 coaching a week available exclusively to the Rewilders Community Members.
- Lead at least 1 Live Webinar or equivalent sharing your insights and answering Q&A over the six months
- Complete monthly homework assignments.
Are you able to fulfill the above program requirements? *
If you answered no, or maybe above, please explain.
Are you able to attend all of the weekends live?
How did you hear about this program? *
DEMOGRAPHIC INFORMATION
Information regarding age, gender, ethnic origin, and race  is used to support the creation of a diverse group of participants.
Date of Birth *
MM
/
DD
/
YYYY
What country do you currently live in? What is your time zone? *
What country were your born in and what countries have you lived in for more than a year if different than above? *
What is your gender identity? (select all that apply) *
Required
Do you consider yourself to be: *
Please indicate your ethnicity (select all that apply) *
Required
Are you a veteran, or spouse of a military veteran *
Do you have any disability or handicap that is long-term (lasting 6 months or more) *
Is there any additional information would you like to share?
By signing (typing your legal name) in the space below, you are certifying that all information is correct and truthful and that you are the person completing this application. *
A copy of your responses will be emailed to the address you provided.
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