Natali Martinez Personal Growth Application

1
Primary Contact Name and Title* This field is required.
2
Primary Contact Phone Number* This field is required.
3
Primary Contact Email* This field is required.
example@example.com
4
Organization Name* This field is required.
5
Organization Address and Location* This field is required.
Huge
Large
Normal
Small
Ok
Ok
6
Organization Type* This field is required.
Peer Group
Nonprofit
School
Other
7
If you answered Other to the previous question, please describe your Organization Type below.
Huge
Large
Normal
Small
Ok
Ok
8
Please describe the focus of your work, including the population you serve, and the key goals or outcomes you pursue.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
9
Which offering are you applying for?* This field is required.
Align Your Life Workshop (5 hours and includes lunch)
Align Your Next Step Growth Session (90 minutes and includes lunch or light snack)
10
Please enter a preferred date and time for your experience. * This field is required.Please note that Saturdays are for workshops only. Selection to be discussed and confirmed at a later date.
Please Select
Please Select
Tuesday-Thursday, 10am-7pm (available for all)
Saturday, 10am-3pm (only available for workshops)
Select Preferred Time Slot
Enter a Date (MM/DD/YYYY) and Time
11
Approximate number of participants (up to 20 participants only)* This field is required.
12
What outcomes do you hope participants gain from this experience?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
13
Do you have the required space and setup to accommodate live interactive activities including written exercises, partner discussions, and group reflection?* This field is required.
14
Are you interested in hosting the experience indoors or outdoors? If outdoors, please describe the available space. * This field is required.
Huge
Large
Normal
Small
Ok
Ok
15
Please select a lunch option.* This field is required.Please choose one option.
Pizza, salad, and juice or soda
Sandwich or wrap platter and juice or soda
Donuts and coffee (growth session only)
16
Any additional information about your organization or participants to ensure an effective experience?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
17
Terms and Conditions* This field is required.Submission of this application does not guarantee acceptance. All applications will be reviewed, and selected applicants will be contacted within 7 business days. If your application is accepted and both parties agree to move forward, a signed contract and 50% deposit will be required to hold the event date. The remaining 50% is due 30 days prior to the event. The workshops and growth sessions require full commitment and active participation from participants to ensure an effective experience. Any changes to the schedule, location, or participant number must be communicated in advance and approved by Natali Martinez, Founder and CEO, The Gutsy Latina LLC.
Should be Empty: