Cultural Coach Program

INTEGRATIVE LEARNING INSTITUTE
Evolving Capacities to Respond to Complexity

Foundation Year Application

Full Name

Mailing Address

Phone

Email

Age (optional)

Educational Background

Present Focus: (where do you focus your time and energy)

How did you hear about the Integrative Learning Institute

The following questions offer an outline to guide you in giving us a deeper understanding of who you are, what your journey has been so far, and what you are interested in learning and experiencing. Your responses will help guide us in the selection process and assure our programs fit your needs.

1. Please describe your motivations for engaging in this program and how you feel you will apply it to your work and/or your life in general. http://www.integrativelearninginstitute.com/communitycoachprogram.htm (30 lines max)

2. Using the each of the Four Fields of Learning as a reference (http://www.integrativelearninginstitute.com/fourfieldsoflearning.htm)

describe yourself in relation to each field including your past experience, reading or research you have done, interests, beliefs, burning questions, challenges etc. (20 lines max per field)

Field 1: Theoretical framework

Field 2: Interior Personal Capacities

Field 3: Exterior System Analysis

Field 4: Application

3. How would you describe your ability to learn, integrate and apply new knowledge? ( 20 lines max)

4. How would you describe the range of capacities you, or anyone, might need to be a change agent in a community or an organization? Describe why you think these capacities would be necessary, and how they relate to making positive change happen. (20 lines max)

After you have submitted your application form you will be requested to send us your resume. Upon acceptance to the program we will request 2 letters of support from people who know you, your work, and your learning goals and who have an interest or investment in your capacity building.

	*INTEGRATIVE LEARNING INSTITUTE* Evolving Capacities to Respond to Complexity

Full Name
Mailing Address
Phone
Email
Age (optional)
Educational Background
Present Focus: (where do you focus your time and energy)
How did you hear about the Integrative Learning Institute
The following questions offer an outline to guide you in giving us a deeper understanding of who you are, what your journey has been so far, and what you are interested in learning and experiencing. Your responses will help guide us in the selection process and assure our programs fit your needs.
1. Please describe your motivations for engaging in this program and how you feel you will apply it to your work and/or your life in general. http://www.integrativelearninginstitute.com/communitycoachprogram.htm (30 lines max)
2. Using the each of the Four Fields of Learning as a reference (http://www.integrativelearninginstitute.com/fourfieldsoflearning.htm) describe yourself in relation to each field including your past experience, reading or research you have done, interests, beliefs, burning questions, challenges etc. (20 lines max per field)
Field 1: Theoretical framework
Field 2: Interior Personal Capacities
Field 3: Exterior System Analysis
Field 4: Application
3. How would you describe your ability to learn, integrate and apply new knowledge? ( 20 lines max)
4. How would you describe the range of capacities you, or anyone, might need to be a change agent in a community or an organization? Describe why you think these capacities would be necessary, and how they relate to making positive change happen. (20 lines max)