You can always press Enter⏎ to continue
Workshop and Growth Session Application
Please complete the application. Once submitted, we will review it and get back to you within 7 business days.
16
Questions
START
1
Which offering are you applying for?
*
This field is required.
Please apply for one offering at a time.
Align Your Next Steps 3-Hour Workshop
Align With You 90-Minute Journaling Growth Session
Previous
Next
Submit
Press
Enter
2
Primary Contact Name and Title
*
This field is required.
Previous
Next
Submit
Press
Enter
3
Primary Contact Phone Number
*
This field is required.
Previous
Next
Submit
Press
Enter
4
Primary Contact Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
5
Organization Name
*
This field is required.
Previous
Next
Submit
Press
Enter
6
Organization Address and Location
*
This field is required.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
7
Organization Type
*
This field is required.
Peer Group
Nonprofit
School
Other
Previous
Next
Submit
Press
Enter
8
If you answered Other to the previous question, please describe your Organization Type below.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
9
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
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
10
Please enter a preferred date and time for your experience.
*
This field is required.
Selection to be discussed and confirmed after review. Please note that Saturdays are for workshops only.
Please Select
Tuesday-Thursday, 10am-6pm
Saturday, 11am-3pm (For workshops only)
Please Select
Please Select
Tuesday-Thursday, 10am-6pm
Saturday, 11am-3pm (For workshops only)
Select Preferred Time Slot
Enter a Date (MM/DD/YYYY) and Time (00:00 AM/PM) at least 45 days in advance
Previous
Next
Submit
Press
Enter
11
Approximate number of participants (up to 20 participants only)
*
This field is required.
Previous
Next
Submit
Press
Enter
12
What outcomes do you hope participants gain from this experience?
*
This field is required.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
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.
Previous
Next
Submit
Press
Enter
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
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
15
Any additional information about your organization or participants to ensure an effective experience?
*
This field is required.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
16
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.
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
16
See All
Go Back
Submit