Online Practicum Application

Apply for the
Courage & Renewal Practicum

Building on knowledge gained in the Foundations program, the Courage & Renewal Practicum invites you to deepen your engagement with the values, principles, and practices of the Courage & Renewal approach. Alongside a supportive learning community, you’ll gain knowledge and insights on how to bring these ways of being and perceiving more fully into your own life, expanding your capacity to influence and transform the communities and institutions you care about. You can get an overview of the Practicum program by clicking here.

This is a universal application for all online Practicum programs we offer. Please reference the specific program calendar page that you’re applying for to ensure you’re aware of program dates and times, tuition fees, the application deadline, and any other relevant information.

Program Selection

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

Which Foundations program did you participate in?*(Required)

Completion of the Foundations program is a prerequisite for participation in the Courage & Renewal Practicum. If you have not completed the Foundations program you should not proceed with this application. You can find upcoming offerings for our Foundations program on our program calendar.

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)

Personal Statement

Why would you like to participate in the Courage & Renewal Practicum?*(Required)

How do you hope to benefit from your participation? How do you imagine using what you learn from the Practicum?*(Required)

What is your previous experience with retreats or programs using the Courage & Renewal approach or similar approaches? Please name the facilitators of the Courage & Renewal programs you have attended, if you remember.*(Required)

What are your experiences around cultural competency/humility and the capacity to engage in diverse spaces?*(Required)

What questions are you holding about the Foundations of the Courage & Renewal Approach (Core Values, Touchstones, Principles, Practices)?*(Required)

What questions of meaning and purpose are you working with right now?*(Required)

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.

Please share any additional information 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

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.

Scholarships

Will you be applying for scholarship funding to assist with the cost of participation?*(Required)

We have a limited amount of scholarship funds available for this program. If you wish to apply please indicate below. The link to the scholarship application will be included in your confirmation email. Your scholarship application should be submitted by the same deadline as the program application.

Yes

Harassment Harassment or bullying behavior

Inappropriate Contains mature or sensitive content

Misinformation Contains misleading or false information

Offensive Contains abusive or derogatory content

Suspicious Contains spam, fake content or potential malware

Search

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Online Practicum Application

Apply for the
Courage & Renewal Practicum

Program Selection

Your Personal Information

Personal Statement

Demographic Information

Vocation or Profession

Sectors and Focus Areas

Any Additional Info

Scholarships

Search

Search

Online Practicum Application

Apply for the Courage & Renewal Practicum

Program Selection

Your Personal Information

Personal Statement

Demographic Information

Vocation or Profession

Sectors and Focus Areas

Any Additional Info

Scholarships

Apply for the
Courage & Renewal Practicum