Application Form

Organising Community Change Workshop APPLICATION FORM

Please complete and send to organisingcommunitychange@gmail.com by Friday 9 October 2009. Places are limited so don't miss this opportunity!

Subject: I would like to attend the Organising Community Change Workshop!

Name:
Group:
Email:
Phone:
Dietary/Mobility/Health/Other requirements?

In addition, this application form will help us prepare for the workshop by learning about your personal motivations and experiences. We would be grateful if you would take some time to answer the following questions:

1) What is your personal motivation in wanting to attend this workshop?

2) What are your personal goals for attending this workshop?

3) Describe a barrier that you or your organisation is currently facing that you think will be better addressed after attending the workshop.

4) How did you hear about the workshop?

5) Any additional comments or questions?


Thank you! Please email to organisingcommunitychange@gmail.com by Friday 9 October 2009.

We're looking forward to seeing you!