Mentoring Request Form
Please complete this form to inquire about Mentoring with Kat.
The information you provide will support Kat's understanding of your desire to engage with her as a mentee. Once you fill out the form, Kat will contact you via email to schedule a no-cost exploratory dialogue. In this first dialogue (usually 30-40 minutes), you will discuss your mentoring goals, review the logistic aspects about your mentoring partnership, decide if you would like to work with Kat, and finalize your enrollment in NVC mentoring.
If you have any questions, please contact Kat at firstname.lastname@example.org or (347) 282-3978.
State Where You Live
Skype Name (if available)
What inspired you to seek mentoring?
What are you hoping to get out of mentoring?
What is your availability (days/times) for your mentoring sessions? (Examples: weekdays between 6 and 9pm, weekends only before noon, etc.)
Please specify your time zone too.
Please Check All That Apply
I read Marshall Rosenberg's book "Nonviolent Communication, A Language of Life"
I attended The Art and Science of Getting Along: NVC Intro
I attended a practice group with Kat
I have no previous experience with NVC
Other (please specifiy)
Please indicate any other NVC training you have had, including the date, location and the name of the trainer
Is there anything else you would like tell Kat?
Do Not Fill This Out