OverComing Race Personal Inquiry

First name

Last name

Phone

Email

Country

Providence/State/ Territory /etc.

Course Selection: Which course are you interested in participating?

Have you ever participated in personal development training?

If you answered yes, please tell us the name and type of training, and why you chose to participate.

Tell us your reasons for participating in training at this time, and the outcomes you hope to achieve.

What is your timeline for starting your coursework?

Will you take the coursework on your own, or will you share the experience with a friend(s)?

Are you financially prepared and able to begin and complete your coursework with little or no financial burden?