Apply - Full Participant - WELLNESS AND LEADERSHIP INC

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Full Participant Application

* Indicates required field

Name *

First

Last

Email *

phone *

Check the one that represents your financial situation the best *

gross annual income $50k or less - $500 work for a non profit - $650 other $850 student $375

Partial Diversity Fellowship request - $250 CAN ($195 USD) *

Wellness and Leadership Inc will provide you with an invoice and/or receipt to those seeking reimbursement for professional development from their employer.

Please confirm your schedule and check the following boxes *

I am able to set aside 1 hour/week in May and June to be with the work In addition, I am able to attend and participate in the cohort coaching group May 16, June 3, 13, 20, 27 11:00-12:30pm Eastern I am able to attend all workshops

A little about you and why you wish to invest in cultivating culture change *

Please tell us about the Anti-Oppression work you've done already *

Submit