Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birthdate (MM/DD/YYYY)

What about GSU interests you? What are you hoping to gain from an experience like this?

If I were to meet you where you are – where would that be exactly? What questions are you longing to be asked by someone who will truly listen? (i.e. What areas of life are you desiring to grow? Where in life are you experiencing tension? Where are you experiencing life?)

In what area of your life are you feeling stuck/holding back and in need of courage? In what area of your life are you moving forward, but wondering if the direction you are headed is really what you want?

What hesitancies do you have about participating in GIRL STAND UP? Is there anything you are hoping to avoid/not encounter in this group?

Is there anything else you want me to know about you?

Are you able to commit to the 2nd Friday of each month (with the exception of Sept when we will meet on the 3rd Friday, the 20th) from 9-12pm in south Denver? (Dates: 9/20, 10/11, 11/8, 12/13, 1/10, 2/14, 3/14, 4/11, 5/9)

Are you committed to fully engaging the monthly homework invitations? (2-4 hours/month)

Are you willing to participate in creating a psychologically safe environment where confidentiality is honored?

By checking this box, I acknowledge that if I am accepted to participate in GIRL STAND UP, an initial deposit of $500 will be required to secure my spot. And, that the remaining cost will be due in full in Sept ($1900 if registered by June 6 or $2050 if registered after June 6).

I agree

I cannot agree to this

Application for Girl Stand Up (Friday Group)