When

Tuesday, January 5, 2021 from 3:30 PM to 6:00 PM PST
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Where

Online via zoom, url will be sent soon

Berkeley, CA 94708

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Contact

Jerry Beckerman, Director
Passion Spark Retreat Workshops
510-244-3884
info@passionspark.org

Application: Passion Spark Retreat Workshop

The Passion Spark Retreat Workshop is an exciting adventure that guides you to connect with your passion, increase your college acceptance, and lead you to a career you love that also makes you a living. To apply, please complete this form. To apply for scholarships or payment plans, please select that option near the bottom of this form.

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Participant's & Parent Information (for minors)

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  • Promo Code

    Apply
  • Fee

    Type Fee
    $495.00
    No Charge

Badge Information

  • Please enter your nickname or the name you like to be called.

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Referral and Background Information

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Participant's Community Agreement:

  • The items here also describe the type of respectful and equitable environment and experience that we want to create for all Retreat participants.

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    1. All participants agree to engage with each other with kindness and respect.

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    2. All conversations that occur during the retreat to remain 100% private and confidential after the retreat ends.

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    3. All cell phones to be turned off throughout the retreat. Emergency situations are exempt from this agreement point.

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    4. All participants to attend all retreat dates without exception.

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    5. All participants to arrive promptly at the start of each retreat gathering.

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    6. All participants to spend 30-60 minutes each day on various Continuation Activities related to their retreat focus, not including the time during the retreat..

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    7. All participates to give all their attention to the person speaking whether the person is a facilitator or another participant.

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    8. All participates to give their honest feedback on brief surveys about the Retreat during the Retreat.

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    9. All participants agree, based on the guiding mission of Passion Spark, to give permission to appropriately use for marketing purposes electronic media from the Retreat should that media include my image.

Tell us a little about yourself

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Additional options for attending a Passion Spark Retreat

Item Qty. Max Limit Price

SCHOLARSHIPS See steps in paragraph below

To apply for a Scholarship using our one-page Scholarship Form, enter a “1” in the box to the right, enter SCHOLARSHIP in the PROMO Code box above, then click “Apply.” IMPORTANT: Complete all information above in this application form. When done, click REGISTER at the bottom of this application and we will send you the Scholarship Form within 5 days of your request. Upon our receipt of your completed form, we will confirm within 10 days the level of scholarship that is available. Thank you.

1 Free

PAYMENT PLAN: See steps in paragraph below.

To apply for a Payment Plan using our one-page Payment Plan Form, enter a “1” in the box to the right, enter PAYMENTPLAN in the PROMO Code box above, then click “Apply.” IMPORTANT: Complete all information above in this application form. When done, click REGISTER at the bottom of this application and we will send you the Scholarship Form within 5 days of your request. Upon our receipt of your completed form, we will confirm within 10 days the level of Payment Plan that is available. Thank you.

1 Free
$9,999.99

Payment

Payment Method

Payment Summary


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