Under the Eagle's Wing Mentorship Program Application form

UNDER THE EAGLE’S WING MENTORSHIP PROGRAM APPLICATION

About your Questionnaire

This form will be read by Shayne Case and the mentorship assistants.

NOTE: It is strongly encouraged that you have worked 1:1 or attended a live/ recorded class with Shayne Case within the past three years prior to the commencement of this program. This is to ensure that you are familiar with the work that Shayne Case does before committing to a nine-month mentorship practice.

Please read the information below before filling out your questionnaire.

Application Form

First Name^*

Last Name^*

Preferred Name

Pronouns^*

Email^*

Mailing Address^*

Birthday Date^*

Why do you want to be in the Under the Eagle’s Wing Mentorship Program?^*

Are you able to commit to participating in each session for the duration of the program?^*

What do you need in an online learning environment to foster your positive engagement? ^*

What do you expect from your mentor, from your mentorship community, and from yourself in fostering an engaged online environment? ^*

How do you work with unconscious bias within yourself?^*

If you experience or witness microaggressions, projections, or exclusionary behaviors within the online community, what will you do? ^*

Everyone has a different definition of “safety” in regards to “safer environments.” What is your definition of safety?^*

And how will you participate in creating “safer” spaces for yourself and for those around you? ^*

Do you have time for the Mentorship Program?^*

Do you have the spiritual, mental, and emotional space within yourself for this experience? ^*

How will you ensure your life/work balance while participating in the Mentorship Program? ^*

Will paying for the Mentorship Program create an imbalance in your life/ work balance? ^*

INTENTION SETTING: Write an intention statement for your mentorship year. You will use this statement later to reflect upon if you are accepted into the program. ^*