Workshop Facilitator Interest Form | TspeaksNYC
Thank you for your interest in joining the TspeaksNYC facilitator network! We partner with community-based organizations and agencies to deliver engaging mental health and Social-Emotional Learning (SEL) workshops for youth, young adults, educators, and families. Please complete this form so we can learn more about your background and availability. Note: This is not an employee-based position. Opportunities are contract-based and vary by location and scope.
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Where are you currently based? (City & State)
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Where are you currently based? (City & State)
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What geographic areas are you open to facilitating workshops in? (Select all that apply)
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My local area only
Anywhere within my state
Neighboring states
Nationwide (Virtual)
If applicable, please list specific cities, regions, or states you are open to working in i.e. NYC + Northern NJ, Western NY (Buffalo, Rochester) etc
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Are you certified as an MWBE (Minority- and/or Women-Owned Business Enterprise)?
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Yes-NYS MWBE
Yes-NYC MWBE
Yes-Other State MWBE
No
In Progress
Are you a licensed mental health professional?
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Yes
No
Please specify your license type (LMSW, LCSW, LMHC, etc.)
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Please upload your resume.
*
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Please indicate your experience facilitating workshops or programming with the following populations (select all that apply):
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Youth (elementary)
Youth (middle school)
Youth (high school)
Young adults / college-aged
Parents & caregivers
Educators / school staff (professional development)
Community-based organizations
What days are you typically available? (Check all that apply)
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What times are you typically available (Check all that apply)
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Weekdays (Morning)
Weekdays (Afternoon)
Weekends (Morning)
Weekends (Afternoon)
Do you have a social media page or website that showcases your professional work or business?(Please include handles or links below.)
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Are you open to both in-person and virtual facilitation?
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In-Person Only
Virtual Only
Both
Is there anything else you'd like us to know?
0/100
Acknowledgement
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I understand that facilitation opportunities may require background clearance and/or reference checks in accordance with school, district, or agency requirements. I consent to participate in such processes if selected for a contract
Acknowledgement
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I understand this is not an employee position but a contract-based opportunity. I may be contacted for future facilitation work as opportunities arise.
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