2025 MoN Pilot - Program ProposalBy invitation OnlyPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail * signify another 2025. Where have you obtained your nature based mindfulness/meditation/guide training? *Please SelectMindful of NatureAwake in the WildANFT: Forest BathingKripalu: School of Mindful Outdoor LeadershipChoiceWill you be providing this program through your own business entity or as an independent contractor? *Please SelectIndependent ContractorAs a Business EntityIf you answered business entity, what is the name of the entity.If you entered a business entity in the last question, please let us know the form of the entity.E.g. Sole Proprietorship, LLC, Non Profit Organization etc.If you answered "Other", please explain.Will you be partnering with another organization for your offering? *YesNoIf you will be partnering with another organization for your offering, what is their name?If you will be partnering with another organization, who is your contact person at this organization?If you will be partnering with another organization, please provide their phone number here:If you will be partnering with another organization, please provide their email address here:Will this program be offered in-person or online? *In PersonOnlineWhat program format will you be offering? *Please SelectA Half-day ProgramA Full-day ProgramThe MBNC 6 Week Course (You must be certified to offer this program.)OtherIf you entered "Other" above, please explain.Which of our defined audiences do you intend to serve? (See the descriptions on our website at mindfulofnature.org) *Please SelectUnderserved populationsFirst responders and other service professionalsYouth and young adults, focusing on their diverse roles, characteristics, and life stages.Leaders, change-makers and environmental visionaries and activists.TBDPlease tell us a little bit more about the audience you intend to deliver the program to: *Please describe the course content. What will you be teaching about and how does it meet the mission of Mindful of Nature?Check this box to signify that you understand that the pilot program should be offered to a minimum of 10 participants, with no upper limit. *AgreedCheck this box to signify that you agree that you will try your best to complete the delivery of this pilot program by August 31, 2025. (Earlier is better!) *AgreedCheck this box to signify that you agree to the requirement of collecting survey responses from every participant before and after the event as a requirement of being accepted as a pilot project. *AgreedPlease check this box to acknowledge that the program will be offered for free to all participants. *AgreedPlease include any additional thoughts, questions or comments. Captcha 8 - 5 = ? Submit
