There are no right or wrong answers, be as verbose or brief as fits you. Your words and thoughts will be held with care and confidence.

Name

First Name

Last Name

Snail mail address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birthday

YYYY

How did you hear about this work?

What would you most love to see change in your world right now?

What creative calling most wants to be born?

How would you describe your body and health right now (physical, mental, spiritual, emotional)?

What’s the biggest challenge in your world right now?

What excites you most about being in intentional community with other women? What scares you or makes you nervous?

How long has this been a struggle and what have you done to address it so far?

Do you have a known specific goal or project you’d like to work on in the incubator?

Have you done group work before? If yes, what time of programs and what did you love most? What was missing or challenging for you?