HoneyRoot School for Embodied Leadership Application Form

School for Embodied Leadership
~~~~ APPLICATION FORM ~~~~

Please fill out this form as authentically as you can. There are no 'correct' answers and no mistakes. We simply want to get a sense of your intentions, gifts and needs, and to assess whether HoneyRoot's School for Embodied Leadership is a good fit for you at this time in your life.

Full Name*

First NameLast Name

E-mail*

Phone Number*

Area CodePhone Number

What are your goals for being part of HoneyRoot's School for Embodied Leadership?*

What leadership skills or states of being are you looking to cultivate?*

What do you know about yourself in groups? What is easy for you and what is challenging?*

What leadership qualities are you bringing to this program? Skills? Natural gifts?*

What personal development work have you done? Therapy, coaching, spiritual community, movement or dance, etc*

Anything else you would like us to know about you?

Level of commitment and current availability.*

	1	2	3	4	5	6	7

1 is None, 7 is Lots

How did you hear about this program?*

Mailing address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry