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Awakening Women's Lives (AWL) Programme - Spring 2023 Application Form
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* Indicates required question
My name is...
*
Your answer
My email address is...
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Your answer
A little bit about why I want to join the AWL programme...
*
Your answer
One thing I'd really like to be different as a result of the AWL programme is...
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Your answer
Please indicate that you are happy to make the following commitments by ticking the appropriate boxes.
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Yes
No
I fully intend to attend all six facilitated sessions.
I am committed to doing the work (some thinking, some actions) in and between sessions to see results.
I am committed to supporting, challenging and championing my fellow AWLs.
Yes
No
I fully intend to attend all six facilitated sessions.
I am committed to doing the work (some thinking, some actions) in and between sessions to see results.
I am committed to supporting, challenging and championing my fellow AWLs.
In terms of gender, how do you identify?
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Your answer
I am aged... (your secret's safe with me)
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18-25
26-35
36-45
46-55
56-65
66+
I'm over 18, but prefer not to tick a box
How did you hear about the Awakening Women's Lives Programme?
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Quiet the Hive Newsletter
Instagram
Facebook
Twitter
Word of Mouth
Can't quite remember..!
Other:
I understand that there is a £100 deposit to secure my place and I prefer to...
(QtH will be in touch to arrange payment - your place is not secured until the £100 deposit has been received.)
*
...pay in one payment
...discuss a payment plan
Is there anything else you want to ask me or share with me at this point?
Your answer
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