Name
*
Personal (First) Name
Family Name
Email
*
Email
Age Group
18-25
26-35
36-45
46-55
56-65
Over 65
Religious Background and/or Affiliation
Agnostic/Curious
Atheist
Buddhist
Christian
Jewish
Hindu
Muslim
Other:
Comments:
How did you hear about Stepping Into the Story
A friend referred me
Social media
Podcast
Internet search
Other:
Please describe why you are interested in this course.
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Stepping Into the Story is an emotional, spiritual, financial, and time investment. Please indicate below your readiness to engage the full process.
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I am ready to put in the work necessary to construct and share a Life Map.
I understand that this course is a college-level course taught by a trained professional and that it costs $400. I will make arrangements directly with the facilitator, Jennifer Layte, to see that my place in the course is paid in full.
I am willing to practice journaling at minimum 2-3 times per week.
I am willing to share with my cohort the personal details of my life relevant to our course exercises and discussions.
I will keep confidential everything that is told to me by individuals in my cohort, including the personal story of my instructor, Jennifer Layte, and understand that she and my cohort will also keep my information confidential.
I understand that this course is taught from a Christian framework, and so Christian beliefs and ideas will be discussed, but that it is not a Bible study and I do not have to be (or become) a Christian to participate in this course.
I need assistance paying for this course.
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Yes
No
I have gone through a traumatic experience that I feel I will need special help in processing, and I will discuss this with Jenn prior to the start of class.
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Yes
No
Preferred Day/Time
Wednesdays, 7-9PM Eastern Time (US)
Thursdays, 7-9PM Eastern Time (US)
Fridays, 10-Noon Eastern Time (US)