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

Be REAL Application, Consent Form and Facilitator Agreement

2024 Be REAL Facilitator Training Agreement and Consent Form

Thank you for your interest in Be REAL (REsilient Attitudes & Living). We are delighted you are interested in bringing 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 minutes to complete and includes 20 questions. 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 5th, 2024.

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

Email Address

Name of the college/university where you work

City & State of your college/university

Your Title/Role

If you would like to receive text notifications of sample Be REAL Newsletters, please add your phone number

If you know of any colleagues from your institution also applying, please list their names (this helps us ensure you get a group discount).

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?

Please briefly share an overview of your professional experience and background. This can include academic studies, certifications, mentoring, or on-the-job training.

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 have practicing and/or teaching cognitive behavioral skills (e.g., cognitive reframing, Dialectical Behavioral Therapy skills, etc.).

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?