Ten Men Application
2022-2023
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Name:
Phone number:
Email:
Best way to reach you?
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How did you find out about the Ten Men?
Why do you want to be one of the Ten Men?
What special strengths do you want to bring to the group this year?
Commitments of a Ten Men participant:
       1. Attend at least 6 of the 7 gatherings this year
       2. Develop a Personal Action Project, with the support of the other participants, to impact your community
       3. Bring yourself, be present, and connect with the group  
Please check which days and times are most available for you:
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Morning
Midday
Afternoon
Evening
Do you have any special needs for accessibility? Please share here.
Do you have any food restrictions, or air-borne allergies? Please share here.
Rate your knowledge of gender-based violence:
I don't know anything at all
I know a lot about gender-based violence
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Which of these things are you passionate about? (check all that apply)
Ten Men participants receive a small stipend to honor the amazing work you are doing! If you would prefer to have your stipend go to support either another man in the cohort, or to help fund projects of the Ten Men, please check the box below.
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