If you are interested in becoming a facilitator or a host for one of our events, please fill out the necessary details below.

Personal Information

First Name *

Last Name *

Email *

Phone *

Instagram Account *

Facebook Account *

Tiktok Account *

Organization Name (if applicable) *

Website Link *

Address *

Proof of Identity and Address

Food Allergies or Special Dietary Needs *

Background Information

Convictions (Have you ever been convicted of a crime? If yes, please explain.) *

Facilitation Experience (Detailed description of previous events, workshops, or gatherings facilitated) *

Creating a Safe and Inclusive Environment (How do you approach creating a safe and inclusive environment?) *

Handling Challenges (Example of a challenging facilitation situation and how you handled it) *

Facilitation Practices

Cultural Sensitivity and Diversity (How do you promote cultural sensitivity and diversity?) *

Engagement Techniques (Strategies to engage participants) *

Conflict Resolution (How do you handle conflicts during sessions?) *

Ensuring All Voices Are Heard (How do you ensure all voices are heard?) *

Values and Mission Alignment (How do your values align with Temple Mother Earth's mission?) *

Professional Standards and Growth

Professionalism and Ethics (How do you maintain professionalism and ethical standards?) *

Ongoing Growth (Steps for personal and professional growth) *

Handling Feedback (How do you handle feedback?) *

Facilitation Style and Community Building

Adaptability *

Community Building *

Balancing Structure and Flexibility *

Successful Facilitation Example *

Time Management *

Confidentiality *

Self-Care and Boundaries *

Certifications and Training

Do you have any certifications, training, or relevant experience? *

Upload relevant certifications or proof of training.