Be REAL Facilitation Training Application - The Center for Child and Family Well-Being

Be REAL Application, Consent Form and Facilitator Agreement

2025 Be REAL Application, Consent Form and Facilitator Agreement

Thank you for your interest in Be REAL (REsilient Attitudes & Living). We are delighted you are wanting in bring this program to your campus to support staff and student well-being. This training is designed for staff/instructors working on college campuses, who intend to deliver the Be REAL program at their institutions.

The application will take about 10-15 minutes to complete and includes application questions, a consent form and facilitator agreement to sign. You will receive an email copy of the signed consent form and facilitator agreement.

Please note that payment will not be collected at this time.

We will review all applications in the order in which they are received and will follow up with you within 10-14 business days regarding the next steps for registration. Please note that space will be limited.

The application deadline is January 3rd, 2025.

For more information on the training, including what to expect and training dates, please visit our website.

Application
Consent Form for Participation in Mindfulness Courses
Be REAL Facilitator Agreement

Your Full Name

First Name

Last Name

Pronouns

Email Address

Name of the college/university where you work

City & State of your college/university

Your Title/Role

If you know of any colleagues from your institution also applying, please list their names (this helps us ensure you get a group discount). We will not process individual applications until all group members have applied.

Full name of the person that will pay for your registration costs. If you are paying, please include your name here.

First Name

Last Name

Email address of the person that will pay for your registration costs. If you are paying, please include your email address here.

How did you hear about Be REAL?

Tell us about any experience you have working with students.

Describe any experience you may have practicing and/or facilitating contemplative practices (for example, Yoga, self-compassion, mindfulness, and more).

Describe any experience you may have practicing and/or teaching cognitive behavioral or dialectical behavior therapy skills

Please share any other relevant background or experience that we may not have asked about.

Please tell us about your goals for participating in the Be REAL Facilitator Training.

Which group of students do you anticipate offering Be REAL to? Check all that apply.

High School Students

Undergraduate Students

Graduate Students

OtherOther

Describe the setting in which you intend to offer Be REAL. (e.g., as part of a course for credit, as a seminar, within a student affinity group, in a mental health clinic, etc.)

If you work with a specific demographic of students, please describe any considerations or concerns you have regarding their well-being and/or in offering Be REAL.

Please list any accommodations you may need.

Do you have any questions for us?

The Center for Child and Family Well-Being is evaluating the impact of Be REAL on student well-being when delivered on multiple college campuses. By registering for this training, you agree to support this evaluation (which includes inviting students into the optional study, sending reminders, and sharing recruitment materials). Facilitators are eligible to receive an honorarium.

I agree

I understand that if I deliver the Be REAL program in full and/or share part of the Be REAL content with students in a group capacity, I will notify bereal@uw.edu. This helps us understand how the program is being disseminated. Identifying student information will not be requested.

I agree

If you are human, leave this field blank.