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Fellowship Cohort

First Name

Email Address from SF

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REST AND REFLECTION RETREAT | EXPRESSION OF INTEREST

Thank you for your interest in participating in the Rest & Reflection Retreat for Pahara Fellows taking place Monday, October 28 - Wednesday, October 30. Please refer to the [event website] for details.

Expressions of Interest for this event are due on May 15. After this point, we will assess all submissions and proceed to the registration process. Registration for the event will open in June, so keep an eye on your inbox for the next steps about how to register and officially hold your spot at this event. In the event we receive more interest than spots available, we will also notify those who have been placed on the waitlist at this time.

Name

Email address

Have you completed your Pahara Fellowship experience?

Yes, I have completed my Pahara Fellowship experienceNo, but I will complete the Pahara Fellowship by the date of the eventNo, I have not yet begun or will not have completed the Pahara Fellowship by the date of the eventI am not a Pahara Fellow

Completed 2023 Network Survey?

Session Dates & Times

Are you able to attend this retreat in full?

YesNo

If necessary, you can save the data on this form and return to complete it at a later date. Should you have any problems with or questions about this form, please contact data@pahara.org for assistance.

This event is only open to Fellows who have completed their Fellowship experience by the date of the event. We look forward to seeing you at network programming in the future!

Thank you for your interest in this Pahara event. At this time, Pahara convenings and retreats are open to Pahara Fellows only. You can find out more information about our Pahara Fellowship, including how to apply, on our website.

Website is linked to the Fellowship webpage: https://www.pahara.org/fellowship

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Demographic Information

Age

Gender

Gender Pronouns

Sexual Orientation

Sector - primary

View Pahara's Sector Descriptions here

Political leaning

Race/Ethnicity

What do you hope to gain from participating in this event at this time? (250 words or less)

How do you hope to contribute to this event? (250 words or less)

Is there anything else we should know about your participation or interest in this event? (optional)

Please contact data@pahara.org if you experience any difficulties with this form.

As a reminder, completion of the 2024 Network Survey which opened in mid-April will be a requirement prior to participation in this network effect programming.

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Contact Information