Registration Form: Uplifting Peer DialoguesJoin our peer dialogues on the Human Bridges platform, which is facilitated by Crossing Borders Education"*" indicates required fieldsFirst Name*"*" indicates required fieldsSurname*Email Contact* Your Educational Institution*CountryAge 18-24 25-34 35+Dates: (Please indicate your availability below)*Each dialogue series has three sessions. (Please select all blocks where you are able to attend all three sessions.) Nov 2, 6 and 9 at 12pmEST-1:30pmEST (New York time) Waiting List: Please send me future datesDates: Other (Please specify here):Other Dates: What workdays and times are good for you?Participation* I am aware that attendance at all three sessions is critical to group bonding. (check 'Agreed' below) AgreedTo support empathic dialogue:*I commit to the values of CBE Dialogue Agreements. (They are key for creating a nurturing space for building trust.) Agreed Click image to enlarge My main reason to participate is:* Connection: Meeting uplifting people for wellbeing Bridge Building: Practicing community building skills (trust building, empathic dialogue, networking) Action: I am interested to practice facilitation skills to support small groups OtherOther: My main reason to participate is: (Please specify here)Other: My main reason to participate is: (Please specify here)How did you hear about our dialogues?(Please tick all that apply) Friend / Colleague UC Berkeley podcast Charter for Compassion Cisco Networking Academy LinkedIn OtherOther: How did you hear about our dialogues? (Please Specify)Other: How did you hear about our dialogues? (Please Specify)
