Facilitator's Workshop Registration

This workshop is designed to deepen your knowledge and experience with ITC. Here, you will learn how to facilitate workshops using the ITC method to create powerful individual ITC maps and uncover the hidden immune system that prevents change.

Basic Information

Name*

Do you have a different preferred name for your name tag?*

What is your prefered name for your name tag?*

Organization (for directory listing)

Email*

Confirm Email*

Phone Number*

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Country*

Registration Information

What session would you like to attend?*

Registration Type:*

I agree to abide by the Minds at Work user agreement. Please read this document carefully, as it contains important information and instructions that govern your use of Minds at Work’s intellectual property. If you have any questions about the agreement, please contact our office.

I confirm that I have read, understand, and agree to abide by the user agreement.*

I agree to the Minds at Work cancellation policy.

I confirm that I have read, understand, and agree to abide by the cancellation policy.*

Running Total

$0.00

Total

$0.00

Background Information

What level of experience do you have with the Immunity to Change approach?*

I am new to the ITC approach.
I have had some exposure to ITC materials (e.g. reading 'Immunity to Change').
I have completed an ITC map for myself but have not facilitated someone through the map.
I have a small amount of ITC facilitating experience.
I have had a great deal of ITC facilitating experience.

How did you learn about Minds at Work and the Facilitator's Workshop?*

Immunity to Change book
mindsatwork.com website
A colleague/friend/family member
A coach or other helping professional
An event/presentation by Minds at Work Faculty
OD Network Email
Mobius Executive Leadership event listing
Other

Do you have any food allergies or dietary restrictions?

Billing Information

Name*

I am representing an organization

Credit Card*

Visa
Mastercard
American Express
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Address*

Email*

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