[Imported Form] Fireweed Collective Workshop Request Form

1
We have a base rate of $500 for a 90 minute session and will work with your budget, the size of your group, amount of time for training and prep in order to arrive at a fair training fee.

If your group has no budget, we are open to trading/bartering workshops, skill sharing, or other resources. Solidarity Forever!
2
The Fireweed Collective does not facilitate mandatory trainings and we are unable to provide Continuing Education Credits at this time.

Just so you know before filling the form out!
3
Hi, what's your name?Or, what would you like us to call you?
4
What pronouns do you use?They,She,Him, Zi, your name, any and all, etc.
5
What's your email address?Best email address to contact you in response to this form.
6
Who or what type of organization are you requesting a workshop for?* This field is required.Select all that apply
A College or University Department
A Student or Youth organization
A Collective, Cadre, or Affinity Group
A Service provider
A Non-Profit, NGO, or Organization
A Coalition or Network
A Foundation
A religious organization or group
Other
7
What type of Workshops are you interested in?* This field is required.We offer these workshops regularly, and are open to other workshop requests more specific to your needs. If requesting a specific workshop, please provide details as applicable.
Safety and Wellness Planning/Mad Mapping/Building a Safety Team
Mad and Disabled Organizing Strategies
Psychiatry and Abolition
Anti-Oppressive Mental Health Care Support
Narrative Healing Strategies
Other
8
How many folks are you expecting to participate in this workshop?* This field is required.Our prep time, the number of facilitators, activity selection, and rates will be impacted by the number of participants.
1 -5
6 -10
11 - 20
21 - 30
31 - 40
41 - 50
50 +
Other
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Could you briefly describe your group, what you are looking for and goals for this workshop?* This field is required.Information like Demographics of your group, access needs we should be aware of, any context you think is important, and one or two desired outcomes for our work together
10
If you have specific dates and times in mind that would work best, or are ideal for your group, please add them below.* This field is required.Up to 3 dates would be excellent for us to assess our time and spoons, thank you!
11
Are you open to one of our members contacting you for a one to one in the next three weeks?* This field is required.This helps us align on the goals of the training, and allows us to get a sense of your groups access needs and specific learning desires.
YESNO
12
Please provide the name and email for us of who we should contact to get this scheduled (if this is different from the previously provided information).* This field is required.We will send over a few date/times that work for the one to one session.
13
What is the best email for us to reach you at, {{field:cd9574e8-e4c8-49ea-8d1d-9060facd1a5d}}
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Thank you for your time. Is there anything else you want us to know?
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The Fireweed Collective does not facilitate mandatory trainings and we are unable to provide Continuing Education Credits at this time.