Ecosystem of Connection A 9 Month Incubator Fellowship
Facilitated by Society of the flora fauna & friend
Name
First Name
Last Name
Preferred Name/Nickname
What are your pronouns
Date of Birth
Race/Ethnicity
Marital Status
What line of work are you in
What is your spiritual, religious or philosophical background
Do you live with a Chronic Health Condition, Disability or anything that creates challenges or pain? If so please share your experience
What supports help you to live with this experience
What accommodations do you need to participate in this virtual space
Is there anything else you would like to share about what support or connections you would like out of this space
What communities/organizations are you part off
Do you have a support system in your life
How many people do you consider as friends
Do you know what triggers you? If so can you list them
Are you an Introvert or Extrovert
How do you feel about physical touch/interactions with people outside of your family
Do you have a self-care routine? If so what does it consist of
Why are you applying to be a part of this Cohort
How will you utilize the learning in this Program
What would you like to learn from this experience
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
**Please check all of the dates you are able to attend. 1. Fellows need to be able to attend and complete six (6) virtual sessions with one (1) additional in person date scheduled according the Cohort's needs. 2. Fellows also need to utilize at least three (3) of the 1-on-1 chaplaincy sessions. Are their any of these dates that you have a conflict with your schedule.
October 10, 2026 1:30-2:30pm est
October 24, 2026 1:30-2:30pm est
November 7, 2026 1:30-2:30pm est
December 12, 2026 1:30-2:30pm est
January 9, 2027 1:30-2:30pm est
January 23, 2027 1:30-2:30pm est
March 6, 2027 1:30-2:30pm est
May 8, 2027 1:30-2:30pm est
Why would you like to be selected for this Cohort training
What does being in touch with your feelings mean to you
*
Do you get uncomfortable sharing your feelings/emotions? Or do you get uncomfortable hearing about other's feelings/emotions?
How do you react to conflict
What do think about advocacy? Can you share an advocacy moment or issue you have engaged in.
Are you familiar with organizing? Have you ever organized for a cause and if so can you share how you engaged in that work.
What are issues that you are concerned about
What is your experience with meditation or mindfulness
Are you comfortable with sound healing, guided visualizations or any Earth wisdom practices
Once the Ecosystem of Connection Program ends all Cohort Alumni will be part of the Community Care Coalition for their neighborhood. This is where compassionate action takes root. Can you share what would be things you want to tackle, support or need help with
Do you have any questions for us
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Society of the flora, fauna & friend
We will be hosting an Information Session on what to expect for the class. Our email is communitycare@florafaunafriend.org
Signature that you have read everything in detail.
To be continued
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