Heart of Higher Education 2024 Registration

Register for the Heart of Higher Education 2024: Moving Toward Enough

Join this online gathering of educational professionals as we reflect on, explore, and sit with questions together for the restoration of our inner lives and outer work. Participants will rediscover ways to sustain ourselves as we foster our ability to enhance the common good on our campuses– connecting with those purposes for which we originally sought this vibrant vocation, and becoming more present, whether in the classroom, meetings, the hallway, or in residential life.

The standard registration rate is $210. We have also included a Group Rate option of $150 for those who will be registering alongside at least two of their other colleagues at the same institution.

We are offering scholarships up to $100 on a rolling, “first-come first-considered” basis to help cover the cost of the program for those in need. If you are in need of a scholarship you will be asked to pay a $50 deposit at this time to hold your spot, and then you’ll need to submit a separate scholarship application, which you will receive a link to in your registration confirmation email upon submitting this form. We have a limited amount of scholarship funds that we’re able to award, so we encourage you to apply early if you’re in need of assistance. The latest possible date to submit a scholarship application is May 10, 2024.

If you are experiencing financial circumstances in which none of these options meet your needs, please email heartof@couragerenewal.org explaining your situation and we will follow up with you individually.

Program Selection

Which program would you like to register for?*(Required)

Your Personal Information

Name(Required)

First name* Last name*

Email*(Required)

Phone*(Required)

Address(Required)

Address* City* State / Province / Territory* ZIP / Postal Code* Country*

Date of Birth*(Required)

Is this your first experience in Circle of Trust Work?*(Required)

Yes

Have you attended a previous Heart of Higher Education event?*(Required)

Yes

When being assigned to a small group would you prefer grouping with those in your region or persons from around the world?*(Required)

Please group me with those in my region.

Please group me with persons from around the world.

Either option works for me.

Are you willing for your email to be shared with other participants of this year’s event?*(Required)

Yes

What questions or wonderings do you hope get addressed in the gathering?

Special Accommodations

If you are in need of any special accommodations to assist with your experience during the program please describe those below.

Demographic Information

While not required, we invite and encourage you to share any additional demographic information you would like to about how you identify. We strive to be inclusive of everyone so they can feel welcome and protected while disclosing their information. By collecting this information, we’re better to able to track the diversity of our global community and follow up with you about specific ways to engage with various resources and communities of practice. All fields are optional, and the information you choose to provide will not be shared beyond the program leadership team and the CCR staff.

Which categories listed below would you like to share more about yourself, if any?

Feel free to check as many of the categories below that you wish to share more about yourself. When checked, a corresponding form field will appear for you to provide the appropriate information.

Gender

Pronouns

Race and Ethnicity

Sexual Orientation

Spiritual and Religious Affiliation

Spoken Languages

How would you describe your gender identity?

Please check as many as you’d like.

Genderqueer

Gender fluid

Man

Non-binary

Transgender

Two-Spirit

Woman

I’d like to self-identify

Gender: Self-Identify

Pronouns

How would you describe your racial and/or ethnic identity?

Please check as many as you’d like.

American Indian or Alaska Native

Asian or Asian American

Black or African American

Hispanic, Latino, Latina, or Latinx

Middle Eastern or Northern African

Native Hawaiian or Other Pacific Islander

White or Caucasian

I’d like to self-identify

Race and Ethnicity: Self-Identify

How would you describe your sexual orientation?

Asexual

Bisexual

Gay

Heterosexual

Lesbian

Pansexual

Queer

I’d like to self-identify

Sexual Orientation: Self-Identify

What religion(s) or spiritual/religious philosophies do you currently consider yourself affiliated with?

Buddhist

Christian

Hindu

Jewish

Muslim

Sikh

I’d like to self-identify

Spiritual and Religious Affiliation: Self-Identify

Spoken Languages

Please list below any languages that you speak fluently.

Is there any additional information you'd like to share about your identity?

Vocation or Profession

While not required, we invite you to provide this information to help us keep track of the professional backgrounds represented in the work that we do, as well as gain a better understanding of who is participating in the program. This information also helps us recommend specific interest groups, programs, resources, or learning communities that you might find helpful in the future. We welcome people of all vocations: those still seeking a vocation, those who have left behind a vocation, and those in transition.

Professional Role / Vocation

Employer / Institution

Please check any that apply.

I am currently retired.

I am currently a student.

I am currently transitioning from one role/career to another.

Sectors and Focus Areas

We invite you to check any of the options below based on your personal and/or professional experiences and interests. Again, this information helps us provide meaningful information for you about upcoming programs, resources, and points of connection. Please feel free to check any that you’re currently affiliated with or that deeply interest you.

Sectors or Focus Areas

Sectors and Focus Areas: Other

Any Additional Info

Is there anything else you'd like to share with us?

Please use the space below to provide any additional information you think we should know.

Payment Information

The Standard Registration rate is $210.

We have also included a Group Rate option of $150 for those who will be registering alongside at least two of their colleagues at the same institution. If you’re registering as part of a group, each individual will need to complete their own individual registration. Simply choose the Group Rate option and then enter the names of the colleagues who are registering as part of your group.

We are offering scholarships up to $100 on a rolling, “first-come first-considered” basis to help cover the cost of the program for those in need. If you are in need of a scholarship you will be asked to pay a $50 deposit at this time to hold your spot, and then submit a separate scholarship application, which you will receive a link to in your registration confirmation email. We have a limited amount of scholarship funds that we’re able to award, so we encourage you to apply early. Scholarship applications are due May 10, 2024.

If you are experiencing financial circumstances in which none of these options meet your needs, please email heartof@couragerenewal.org explaining your situation and we will follow up with you individually.

Alternative Payment Arrangement

Check this box only if you’ve received approval for an alternative payment arrangement.

Please describe the payment arrangement for which you received approval and include the name of the staff person who approved your request.(Required)

Program Registration Fee – What type of payment would you like to make today?(Required)

Standard Rate – I’d like to pay the $210 standard rate.

Group Rate – I’m registering with two other people at my institution and would like to pay the $150 group rate.

Scholarship – I’d like to pay an initial $50 deposit to hold my spot and apply for a need-based scholarship.

Please include the first and last names of the colleagues you're registering with.(Required)

The group rate applies for those who are registering in groups of three or more with colleagues from the same institution. Each person in your group will need to complete their own individual registration.

Would you like to make a donation in addition to your registration fee?

Your donation helps make more scholarship opportunities possible and expands access to our programs.

Yes, I’d like to donate.

Amount to Donate(Required)

$50

$100

$250

Other

Enter amount to donate(Required)

Would you like to help our organization by covering your transaction fees?

Increase my total amount to cover the payment transaction fee.

Program Registration Fee – Early Bird Rate

Price:

Program Registration Fee – Standard Rate

Price:

Program Registration Fee – Group Rate

Price:

Program Registration Fee – Scholarship Deposit

Price:

Donation(Required)

Price: $0.00

Donation(Required)

Price: $0.00

Transaction fee

Price: $0.00

Total Payment

Credit Card(Required)

Card Details

Cardholder Name

Cancellation Policy: Cancellations must be received in writing at heartof@couragerenewal.org 30 days before the event is scheduled to begin and are subject to a $25 administrative fee. Between 30 days and 14 days prior to the start date you will receive a 50% refund for your registration. Refunds will not be granted within 2 weeks of the program start date. Extraordinary circumstances will be considered on a case-by-case basis. All refund requests must be made by you, the registrant.

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Heart of Higher Education 2024 Registration

Register for the Heart of Higher Education 2024: Moving Toward Enough

Program Selection

Your Personal Information

Demographic Information

Vocation or Profession

Sectors and Focus Areas

Any Additional Info

Payment Information