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Deadline to apply: Sunday, March 15 11:59pm Registration for Practice//Practice is limited to 20 spaces in order to encourage open and meaningful dialogue among participants. Applications are committee reviewed.
First Name *
Last Name *
Preferred Pronouns she/her/hers // they/them/theirs // he/him/his // ze/zer/zers etc.
Age
Ethnicity We hope to bring together a diverse cohort of individuals who reflect a broad range in age, ethnicity, background, geography, and practice. *these fields are optional
Email *
Phone *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Organizational Affiliation *optional *If multiple people from an organization are applying, each must submit a separate application.
Position *optional If you've stated an organizational affiliation above, what is your position within that organization?
Please tell us more about your work below: *
Participants are selected to represent a range of professional phases, from practitioners embarking on new journeys to those working in established organizations
Why are you applying to this program? *
What are you hoping to get out of this convening?
List or explain dietary restrictions if applicable.
How did you hear about Practice//Practice?
Upload a Resume *optional

Please describe how being a parent inspires and/or challenges you in your work:
Please describe your needs as a parent and how receiving the fellowship award would contribute to your ability to attend Practice//Practice:
Be as specific as possible in terms of need for tuition, travel, lodging and childcare.