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Worksheet

Application for Beloved Community

1. ➜

Name

2. ➜

Email

3. ➜

Phone number

4. ➜

Address

5. ➜

What are your experiences of being “other”? Think of times when you’ve not fit in, when you didn’t go with the flow, when by virtue of who you or the context you were in, you were verbally or non-verbally told that you are not “one of us”

6. ➜

What gets you angry?

7. ➜

What kind of world would you love to create?

8. ➜

What piqued your interest in the Beloved Community Deep Dive experience?

9. ➜

What fears do you have about the experience?

10. ➜

How certain are you that you can carve out time for the spiritual/practical rigors of this deep dive year?

11. ➜

What else would you like me to know about you?

12. ➜

Who can we thank for referring you to the Beloved Community?