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Pacific Lutheran University, Be REAL Facilitator Training Application – Winter, 2024
Be REAL Application, Consent Form and Facilitator Agreement
2024 PLU Be REAL Facilitator Training Agreement and Consent Form
Consent Form for Participation in Mindfulness Courses
Be REAL Facilitator Agreement
Your Full Name
Your Full Name
If you would like to receive text notifications of sample Be REAL Newsletters, please add your phone number
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
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?
If you are human, leave this field blank.