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Workshop Application
Please complete the application. Once submitted, we will review it and get back to you within 5 business days.
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1
Primary Contact Name and Title
*
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2
Primary Contact Email
*
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example@example.com
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3
Primary Contact Phone Number
*
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4
Organization Name
*
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5
Organization Address and Location
*
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6
Organization Type
*
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Peer Group
Nonprofit
School
Other
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7
If you answered Other to the previous question, please describe your Organization Type below.
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8
Please describe the focus of your work, including the population you serve, and the key goals or outcomes you pursue.
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9
Please select your preferred date and time.
*
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Your selection will be reviewed and confirmed at a later date.
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10
Approximate number of participants (up to 20 participants only)
*
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11
What outcomes do you hope participants gain from this experience?
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12
Do you have the required space and setup to accommodate live interactive activities including written exercises, partner discussions, and group reflection?
*
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13
Are you interested in hosting the experience indoors or outdoors? If outdoors, please describe the available space.
*
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14
Any additional information about your organization or participants to ensure an effective experience?
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15
Terms and Conditions
*
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Submission of this application does not guarantee acceptance. All applications will be reviewed, and selected applicants will be contacted within 5 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 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.
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