Register: The Story Workshop

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TAC Enrollment Form 2021-2022 NEW

05/24/2022 SA (EightCloud) Cloned from TAC Enrollment 2021-2022 form. Made the following changes:

1) Reorganized sections in an object by object grouping to make easier to read and modify in future

2) Added Payment Dates/Installment Dates 1, 2, 3 & 4 to Campaign Flag section

3) 1.1 - 1.5 Created/modified npe01__OppPayment__c records

Updated Descriptions
Updated field mappings

4) Updated Skip Logic on Salesforce connector. 1.2-1.5.

SalesForce pre-populated parameters (Do Not Change!)

Application

ContactID

ApplicationID

Program Track

Program

Contact

First Name

Last Name

Campaign Flag

Campaign ID

Event date (Opp. Close date):

Deposit Amount

Application Fee

Total Certificate Cost

First Installment Date

Second Installment Date

Third Installment Date

Fourth Installment Date

FERPA Document Flag

YesNo

Facilitator Feedback Document Flag

YesNo

Fund ID

Fund

Payment Description Addition

Payment for:

Misc - Needed?

Deposit Paid Date

SalesForce Record Types - Should not need to be updated

Hidden Calculations

Installment Amount

First Name

Last Name

Please describe your dietary restrictions

Emergency Contact

Please consider choosing someone who could offer safe emotional support should the need arise.

First Name

Last Name

Phone Number

Relationship

Dual Relationships

Please reference your acceptance email and follow the link to our facilitator list. Please provide the name(s) of anyone with whom you have connections and the nature of your relationship.

Additionally, please let us know if you have a relationship with any others who you know are participating:

Accessibility

The Allender Center provides accommodations to individuals with qualifying documented disabilities. For planning purposes, participation will primarily be through using a computer and the Zoom video conferencing technology which includes audio and visual components. Lectures will be video recorded and posted to the online course page. Books, podcasts, and materials from external websites may also be assigned as course reading.

Please share any information that would be helpful for our team to know so we can support your full participation

For BIPOC (black, indigenous, people of color) participants only:

In this offering, you will be engaging stories of personal and collective trauma, which may include identity-related trauma such as racial trauma. For the purposes of story group placement, we are welcoming you to share any story group preferences you may have with The Allender Center Team. We take your preferences into sincere consideration when we form story groups, and if you express an interest in an all-BIPOC group, we will be in communication with you before the program begins if this is not possible to accommodate.

I prefer to be in an all-BIPOC (black, indigenous, people of color) story group.I do not have a preference about my story group.

Enrollment Deposit

Payment Schedule Agreement

The cost of the program may be paid in full or in two or four installments. Payment due dates are available on the offering-specific detail page on our website and in the Covenant & Release of Claims provided in your acceptance email.

Payment:

I would like to pay my deposit and fee in full todayI would like to pay my deposit today and my balance in two installmentsI would like to pay my deposit today and my balance in four installments

Credit Card Information

First Name

Last Name

Credit Card #

Security Code

Expiration Month

Expiration Year

My signature below certifies that I have read and understand the information provided in the Covenant and Release of Claims. I understand that I am submitting a non-refundable, non-transferrable enrollment deposit that secures my seat and creates a financial commitment. By submitting this Notice of Intent I am willfully choosing to enroll in this offering.

Please type your full legal name, understanding that it is legally equivalent to your signature:

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