Integral Facilitator® Application Form 2023
Email *
First name: *
Last name: *
Pronouns
Address ( Street / City / State-Province / Zip / Country ) *
Do you have any accessibility needs or other considerations you would like us to be aware of?
When did you complete the Next Stage Facilitation foundations program? *
What is your core motivation for enroling in the program, and why is now the time? *
Describe your familiarity and past experiences with transformative learning and self development work. Please include both positive & negative experiences you have had. *
Describe an experience where you received challenging feedback. Why was it challenging? What did you learn? *
What current facilitation work are you engaged in, with groups or collectives, that will be your playground as you move through program?  (Being a coach of individuals is not sufficient). *
Please indicate any prior training or certifications you have done in the field of coaching, psychology, group work, leadership development. Select from the list below, or write it in using the "other" option if your training/certification is not listed. *
Required
If you've received other advanced training that applies to facilitation please specify here: *
What is your first language and degree of fluency in English? *
This question is for information purposes only. Coming into the program with awareness or understanding of Integral Theory (IT) is helpful, but not required. What is your current level of familiarity with Integral Theory? *
What obstacles or challenges are you aware of that could conflict with your ability to complete all elements of the program in full? *
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