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I'm Interested in Facilitation Genius

This is the “get to know you part” to help us identify the best possible combination of people with diverse backgrounds and learning goals. We have 12 spots for each cohort and this application is the first step before we connect on a call to hear more about your needs. If you’d rather have a chat, just drop us an email.

This information is held confidentially for the program and not shared beyond Elaine Broe Leadership & Learning Experiences.

Click the button below to start.

Start

Question 1 of 15

Your Preferred Course Dates

 

3-hour modules delivered once a week, for 6 weeks.

(Select all that apply)
A

Start Date Thursday January 13 // Every Thursday 9am-12pm MDT // January 13, 20, 27, February 3, 10, 17 & 24

B

Spring March, 2022 Date TBA

Question 2 of 15

What's your time zone?

A

PST (Pacific)

B

MDT (Mountain)

C

CST (Central)

D

EST (Eastern Standard)

E

AST (Atlantic)

F

NST (Newfoundland)

G

I'm in the UK

H

I'm in Europe

I

I'm somewhere else

Question 3 of 15

Which category best represents your work:

A

Consultant

B

Facilitator

C

Coach

D

Leader of People and Ideas

E

In-Company Facilitator or Trainer

F

In-Company Coach

G

Still figuring it out

Question 4 of 15

Company Name:

Question 5 of 15

What is your current biggest challenge as a leader and facilitator?

A

Managing my inner critical voices

B

Keeping groups on topic and on track

C

Navigating resistance & disruption

D

Creating a safe environment

E

Communicating with confidence & purpose

F

Sharing stories that impact

G

I’m good and I want to be great

H

Recovering after unexpected event

I

Powerful questions & debriefing

J

Remote Facilitation Dynamics

K

Other

Question 6 of 15

On a scale of 1 - 10 how satisfied are you in your ability to facilitate conversations with groups?

A

1 – can't get no satisfaction

B

2 – pretty hard on myself

C

3 – I do OK

D

4 – pretty good & sometimes great

E

5 – extremely satisfied

Question 7 of 15

What would be the most meaningful outcome of this course for you? What would you most like to walk away with?

Creating a Supportive Cohort

 

We care about creating a learning experience that reflects the diversity of race, gender, age and experiences of the groups and teams we support. Although this is a small snapshot of the many layers that make you who you are, completing the following information helps us work towards greater equity and more meaningful learning.

 

Everything after this point is optional for you to disclose and is 100% confidential to the facilitation team. This will help us to curate a diverse learning cohort and hold us accountable to our focus on inclusion and accessibility.

 

Question 9 of 15

Age Range

A

20 – 29

B

30 – 39

C

40 – 49

D

50 – 59

E

60 – 69

F

70 - 79

G

80+

H

I choose not to disclose

Question 10 of 15

I identify my race primarily as:

A

Indigenous (First Nations, Métis, Inuk/Inuit)

B

Arab

C

Black

D

Chinese

E

Filipino

F

Japanese

G

Korean

H

Latin American

I

Middle Eastern

J

South Asian

K

Southeast Asian

L

West Asian

M

White

N

I identify as another race category

O

I choose not to disclose

Question 11 of 15

Which of the following best describes you:

A

Agender

B

Woman

C

Gender Fluid

D

Gender Queer

E

Man

F

Non-binary

G

Two-Spirit

H

Other

I

I choose not to disclose

Question 12 of 15

Do you Identify as Transgender?

A

Yes

B

No

C

I choose not to disclose

Question 13 of 15

Do you identify as having a disability?

A

Yes

B

No

C

I choose not to disclose

Question 14 of 15

We are committed to creating a learning space where everyone feels welcome to participate. Is there anything else you would like us to know about accessibility needs or personal requests that will help to create a safe and supportive learning environment for you?

Question 15 of 15

How did you find out about the program?

A

Friend

B

Colleague

C

Linkedin

D

Facebook

E

Instagram

F

Elaine Broe Newsletter

G

Worked with Elaine previously

H

Other

Confirm and Submit