Certificate Application Certificate in Learning as a Practice Application Please complete this application as openly and fully as possible. We encourage you to take your time to reflect on the questions and to enter into this process as a personal inquiry. Feel free to add additional pages to accommodate your responses. Applicant InformationName* First Last Home PhoneCell PhoneEmail* Present occupation/s*Previous occupation/s*How did you hear about this program?*E-newsletterSocial mediaAcademy websiteFriend/word of mouthOtherIf you selected other, please share how you heard about the Certificate program.*Application Questions1. Why do you want to participate in this certificate program? What promise does it hold for you? Why now?*2. What does ‘learning as a practice’ mean to you? What can you say about yourself as a learner?*3. What would be the most important outcome/s for you? Are there specific skills and areas of development that you hope to gain from being a participant?*4. Have you participated in any other Academy workshops or trainings? If so, which ones? Are there other trainings (not at the Academy) that you’ve done that you feel are relevant?*5. What practices are you involved with that support your personal growth? Do these practices include any forms of art or creative expression?*6. Is there anything else you’d like us to know about you?*This application will be followed by an intake/orientation conversation with a faculty advisor.