2012 Occupy Manifest 1.

0 PROGRAM
Participant Information and Project Details

GUIDELINES FOR FILLING OUT INFORMATION

To meet our needs for clarity, connection and contribution, and to aid us in planning the program and shaping the curriculum based on the people who will participate in the program, we would like to hear your responses to the questions in the documents below. The Participant Information & Project Details is divided into four sections: I. II. III. IV. Instructions for Submitting Your Information Applicant Background, Experience, involvement & Hopes Accommodations Contributions & Financial Information

Please answer the questions in whatever way meets your needs for full expression and clarity. If you find your response to a particular question is already covered in another question, simply refer us to the relevant answer. Likewise, if you struggle to connect with a particular question, feel free to express that and move on to the next question. We are not expecting detailed responses to all the questions. Section I of this Participant Information is designed both to give us information about you, and to give you an opportunity to engage in a process with yourself. Some people have expressed excitement about the questions and saw them as the beginning of their program and an opportunity for clarity and growth; others have expressed frustration at the level of detail. It has taken people between 1-10 hours to complete, depending on how much they wanted to explore the various questions. This is your choice; we are not expecting more than a few lines for narrative questions.

I. INSTRUCTIONS
Our preference is to receive this form itself by email (preferably as an attachment, so formatting is not lost), and the $150 retreat fee sent via snail mail or at the retreat. If you have access to email: Please send the completed (preferably as an attachment, so formatting is not lost) to occupymanifest@gmail.com If emailing your information will not work for you, please snail mail both your application form and your application fee to the address, 606 Sterling PL ap 1 Brooklyn NY 11238 Attn: Learning in Action Information. NOTE: processing handwritten applications is very challenging for us, so we ask that you make every effort to type your responses. If payment by check will not work for you, please plan to bring cash to the retreat. Note: all of our communications about the program are via email, so it will definitely be a challenge for you not to have access to email during the program. We do not have the staffing capacity to send all communications to individuals via snail mail or by phone, so if you do not have email, you could make individual arrangements with a friend to receive and print the emails for you or find another alternative strategy for staying connected and informed. Thank you so much for taking the time to fill out and submit. After we ve had a chance to review your information, we will send out instructions for setting up a phone discussion the next step in the process. We are looking forward to being in touch with you soon. Warmly, Occupy Manifest (Note: Please make a copy of this application for yourself before sending it in to us.)

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II. BACKGROUND, EXPERIENCE & INTENTIONS

A. Personal information:
Name: Email: Phone: home work: cell Address:

City/State/Zip/Country: Emergency Contact (name and all phone numbers):

Background: We aim to have the most diversity in this program that we can because we trust that it will increase our capacity as a network to reach more people. Toward this end, it would be helpful to hear from you any elements you are willing to share of your background that might help us be aware of the diversity within the group. Below are some suggestions. Please feel free to skip any of these or add what matters to you. Geographical place of birth: Geographical home at present: Primary language you speak: Additional fluent languages: Gender: Sexual orientation: Religion: Race/ethnicity: Class: Age: Other identity:

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B. Relationship to OWS:
REMINDER: Please retain the questions (in bold) and begin each reply (not in bold) on a new line separated by at least one space from the question to contribute to ease in reading.

1. What are some of the ways that OWS has most affected your life? What most excites and moves you about OWS?

2. What are 1-2 areas of OWS practice that you experience most ease with?

3. What are 1-2 areas of OWS practice that you experience most challenge with?

4. Do you have any areas of doubt, questioning, hesitancy, concern, disliking of, or uncertainty about OWS? If yes, what are these areas, and how are you working with your doubts, dislikes or uncertainties?

5. How have you been involved and engaged with OWS? What area of your engagement has made you feel most connected to yourself and proud of what you have done?

C. Social Activism Training

1. How long have you been integrating social activism into your life?

2. What organizer training have you participated in? (Approximate numbers are fine.)

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D. Hopes & Intentions in Joining Occupy Manifest

YOUR Breakthrough-initiative PROJECT

We would like you to tell us about the project that you would like to take on during the program. However, your answer here is not your final commitment to this particular project. During the first workshop there will be time to reflect on your project and make changes to it. By the end of the first workshop, you will commit to a specific project that you will work on through the course of the program. Through considering the Declaration of Occupation, we have identified 5 broad categories that Occupy is seeking to address. We encourage you to select a project within one of these categories, but if you have something else that you feel strongly about taking on, please do not feel limited to this list. 1. 2. 3. 4. 5. Environmental Regeneration Economic Reform Media, Entertainment and Information Human Rights Sustainable Communities

1. In what area/system do you want to create positive, sustainable change (e.g. the environment, the entertainment industry, education, public health, etc.)?

2. What is the TITLE of your project?

3. What are the problems that need to be solved in the area/system you identified in Question 1? a. in your community? b. in your country? c. globally?

4. To solve these problems, what needs to shift? a. in your community?

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b. in your country? c. globally?

5. What are the principles you will apply to your project? (What you stand for). 6. Who are your KEY partners in your project? 7. What partnerships do you want to build to manifest your project? 8. What result(s) will you produce through your project in 6 months to 1 year? What shifts will you create?

Why are you applying to the OM? (Include in your answer how you imagine you might be able to use what you gain from this year in the future, as well as the situations or populations you are interested in bringing this work to, if this is relevant for you.)

1. To the best of your ability at this moment in time, are you able to make the following commitments requested by the OM? If you answer No or Unsure to any of the questions, please share with us your concerns and also possible strategies for handling any challenges you anticipate: a. Will you be able to participate fully in all program components (the 3 retreats, teleclasses, journaling, etc.)?

b. Will you be able to set aside 3-6 hours a week (more or less) for buddy calls, teleclasses, and other opportunities offered by the program?

c. Will you be able to share OM skills with others for a period of at least one year following the end of the program?

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d. During the year following the end of the program, are you comfortable with making your OM offerings accessible to others?

2. Do you have any specific expectations (that you are aware of) about what you would like to learn in this program or about how the program would be structured?

3. Is there anything else you would like us to know?

4. Do you have any requests of us at this time?

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III. ACCOMMODATIONS
To help you choose the type of accommodations you d like, please see the section on accommodations in the program description. 1. Please choose for each of the 3 retreats your rooming options. Please RANK the options in the row just below the amounts (see table below). Please use the following ranking system: 1 = first choice! 2 = also a happy choice 3 = not optimal, but it will work (we will only put you in this choice if we can t figure out how else to make things work) 4 = no way y Feel free to use one rank for multiple options (for example, if you are equally happy with all three choices, mark all of them as #1). y We will do our best to accommodate everyone s needs and preferences, and will let everyone know which accommodations they ll be staying in. Notes: (1) We are asking you to pick your choice now for ease and simplicity. However, we will make it possible for you to negotiate different rooming options later if you desire. (2) Availability of single rooms is minimal. Unless you have special circumstances, you can assume that you will be staying in a double/triple room. (3) Please note that February is in the middle of the rainy season in CA, Please choose the camping option for those retreats only if you are an experienced camper and ready to sleep in a tent, or if you would be willing to bedroll if it rains (bedroll means sleeping in a sleeping bag on a carpet in a common room that will likely be used during the day for small group practice).

Time February Ranking: April Ranking: July Ranking:

Camping/ Bedrolling/ Shared (3+ people)

Double

Single

2. Any special needs around sleeping arrangements that you would like us to be aware of?

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We will do our best to accommodate your requests and preferences, though we cannot guarantee that we ll be able to.

IV. CONTRIBUTIONS AND FINANCIAL INFORMATION

Important note:

The level of detail of this section of the document reflects our desire to contribute to as much clarity, flexibility, understanding and connection as possible. We also recognize that the level of detail might be overwhelming for some and may not meet needs for clarity and connection. If you find that you re struggling with this section, please complete as much of it as you can, note any questions you have, send it with your application, and we will contact you to complete the process by phone. The amount we request for participation in the Occupy Manifest in 2012 is the total expenses for the year which are $3500-$4500 per person. (Participants are requested to contribute $150-$300) As we have shared, we have a commitment to including all people, regardless of financial resources. At the same time, we want a fuller sense of partnership and shared responsibility. Therefore, we are asking you to engage with a process with us around the decision of how much to contribute, before making a decision about it. We see this as an opportunity to invite everyone into engagement with their process, awareness of their options, and full choice about the needs they want to attend to. We are excited to hold this information with you and curious to discover what this process will lead to.

A. Initial exploration questions

1. How much money are you thinking of contributing for tuition on scale of $150-$300 per retreat?

2. What considerations are going into your choice about how much to contribute?

3. What needs of ours are you aware of in relation to financial contributions?

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4. Would you be able to contribute more if you used a payment plan? What needs may this attend to for you and for us?

5. Have you considered raising funds to cover the program costs or to increase what you are able to contribute? If yes, what are your plans?

6. If you are choosing not to raise funds and are not able to cover the program costs, what needs are you attending to by making this choice? Would your choice change if we could offer you more support with strategies for fundraising?

B. Participant Contributions
a. Can you cover the participant contribution for all 3 retreats (regardless of how long of an extended payment plan you might opt for)?

b. If no, what is the total amount for participant contribution that you can cover? $

C. Program Participant Contribution

NOTE: If you are not able to cover the participant contribution for the 3 retreats, please skip this section. We request contributions of $450-$900 $for the full program. Based on the process you engaged with in part A of this section, please choose one of the following: I would like to contribute $ participation. above the top of the scale towards other people's

I am delighted to contribute at the top of the scale $ The place within the tuition scale I can gladly contribute is $

. . . .

The bottom of the tuition scale is a stretch for me and I am happily making it $ The bottom of the tuition scale is more than I can make. I will contribute $

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D. Totaling the Financial Contributions

Please summarize the total of all financial contributions you ll be making (either by the dates we request or through a payment plan):

Basic Expenses

Total you intend to contribute =

E. Choose a Payment Option

Please fill in the payment option that will work best for you regardless of whether you are paying below, within or above the sliding scales. We d like you to be aware that the options are in the order of greatest ease for us and we want the payment option to work well for you, too.

Option #1: Check Option #2: Money order Option #3: Cash

G. Contributing time (volunteering):

We invite all OM participants to consider contributing time and skills, regardless of how much you contribute financially. Your time and skill contributions can make a big difference to us and can be fulfilling for you as well. We welcome a variety of skills, such as writing, proofreading, answering phones, making calls, collating data, creating websites, etc. etc. etc. Would you like to contribute your time and skills? If yes: i. What needs are you hoping to meet by contributing your time and skills?

ii. What skills might you be able to offer us?

iii. How much time (per week or per month) would you have available to contribute to us, and for how long (which portion of the year)?

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iv. Alternately, would you prefer volunteering for chunks of time rather than a weekly or monthly amount of time (for example, web or graphic design for a special project)?

H. Feedback and Gratitude

We appreciate your choice to complete this Information and are curious to hear about your experience of doing so, if you d like to share it with us. We also always welcome suggestions that you believe may contribute to more clarity, meaning and ease in the future.

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