NYCNVC Mentoring Request Form - 2017
Please complete this form to inquire about NYCNVC Mentoring services.
The information you provide will guide us in identifying a mentor to work with you or to check the availability of the mentor of your choice. You will then be contacted via email to schedule a no-cost exploratory dialogue. In this first dialogue (usually 30-40 minutes), you will discuss your mentoring goals, review the logistic aspects about your mentoring partnership and finalize your enrollment in the program.
If you have any questions, please contact Clara at firstname.lastname@example.org or (646) 201-9226.
City, State (If applicable)
Skype name (if available)
If you are not a native English speaker, please indicate your preferred language for the calls
What inspired you to seek NYCNVC mentoring?
What do you hope to experience in this process?
Please indicate if you have a preference for a specific NYCNVC mentor:
Please Choose One
I don't have a preference
What is your availability (days/times) for your mentoring sessions? (Examples: weekdays between 6 and 9pm, weekends only before noon, etc.)
This information helps us in the selection of the mentor.
Sessions are typically 30 or 60 min long.
PREVIOUS NVC EXPERIENCE
How did you find out about Nonviolent Communication?
Please Check All That Applies
I read Marshall Rosenberg's book 'Nonviolent Communication: a language of life'
I attended an NYCNVC First Monday intro
I attended an NYCNVC 10-week Practice Group
I attended an NYCNVC Discovery Weekend
I attended an NYCNVC Empathy Intensive
I attended an NYCNVC Self-Empathy Intensive
I attended an NYCNVC Request Intensive
I participated in
The Compassion Course Online
I have no previous experience with NVC
Other (Please specify)
Please indicate any other NVC training you had, including the date, location and the name of the trainer
Is there anything else you would like us to know or any specific questions you would like addressed prior to having a dialogue?
We share information confidentially amongst staff only – this serves our need for effectiveness and consistency.
Please check if you agree.
Yes, I agree.
Once you've completed this form, please click 'Submit' below.
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