Human Connector Academy Application Form

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a. Data Protection Permission: I hereby grant Kontakt Kollektiv gUG (Kontakt Kollektiv) the following permissions:* Dies ist ein Pflichtfeld.• I consent that the Kontakt Kollektiv Team can safely store and process my contact details and information about my venture, also outside the EEA with trusted and secure data processors, and share that information with our Kontakt Kollektiv community members and partners (including funding partners and ecosystem partners) only for opportunities relevant to me and my venture. • I consent to being contacted periodically by Kontakt Kollektiv and partners regarding relevant updates, offers and opportunities from Kontakt Kollektiv. I can unsubscribe from updates at any time and can ask for my data to be fully or partially deleted or rectified at any time by writing to privacy@kontaktkollektiv.com. If I am accepted into the community my data will be processed as outlined below. • I will be updated periodically about developments and opportunities related to Kontakt Kollektiv and the field of social innovation (including news about the community, our kollektiv spaces, our offerings to and surveys of human connectors). • I can request to learn anytime which of my contact details and information are being stored. I can also request that just certain information will be deleted. • Kontakt Kollektiv guarantees to not share your details outside our network and never to sell your data. • I consent to Kontakt Kollektiv displaying a profile of me on www.kontaktkollektiv.com including my photograph, name, my skills and my public LinkedIn profile (if it exists) and other relevant links. • Important note: The consent for all above mentioned services is voluntary. You can refuse it without giving reasons and without being subject to any disadvantages because of it, besides not being able to use Kontakt Kollektiv services. Please be aware however that by not giving consent here we will not be able to process your application and contact you to inform you of the status of your application.You can decide to opt-out and withdraw the permission to store your data and contact you at any time once the application process is complete. You can do so by reaching out to privacy@kontaktkollektiv.com.
A - Opt-in: I hereby grant Kontakt Kollektiv gUG the permissions as outlined in the above description
B - I do not grant Kontakt Kollektiv gUG the permissions outlined in the above description (please note that if you do not grant the permissions, we will not be able to contact you to inform you about the status of your application).
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b. SELECT YOUR COURSE DATES FOR KONTAKT KOLLEKTIV'S HUMAN CONNECTOR ACADEMY* Dies ist ein Pflichtfeld.Attending all sessions on all days is a requirement to be eligible to participate in the rest of the programme and to become part of the Kontakt Kollektiv community.
4th - 5th November 2023 (LIVE in Hamburg)
Spring 2024 ONLINE (final dates to be confirmed)
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a. What is your full name?* Dies ist ein Pflichtfeld.
First name
Last name
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b. Thank you! Now, to keep in touch and to send you more details about the course, please share your E-mail address* Dies ist ein Pflichtfeld.
example@example.com
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c. Where are you based?* Dies ist ein Pflichtfeld.Your city and country of residence
Hamburg, Germany
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a. Do you identify as a member of a marginalised or discriminated group?* Dies ist ein Pflichtfeld.Why are we collecting this data? We aim to have healthy diversity ratios across our programs as it is one of our most important values. This data helps to track and report representation across our program and serves as impact measurement.
YesNo
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b. If yes, which group is it and can you give us more information about it?Examples can include (but are not limited to) race, ethnicity, gender identity, sexual orientation, physical ability, language, and/or immigration status (max. 600 characters).
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c. Which of the following applies to you?* Dies ist ein Pflichtfeld.
Company Employee - regular fee (incl. 19% VAT): € 1905
Individual, freelancer, non-profit employee - discounted fee (incl. 19% VAT): € 955
I apply for the scholarship - reduced course fee (EUR 500)
I apply for the scholarship - full scholarship course fee (If you have a passion for organising kollektiv spaces in Hamburg but face financial constraints, you can apply for a scholarship supported by IFB Hamburg to support your involvement by covering the fees)
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d. If you apply as part of a company/ organisation, please share the name of it
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e. If you're applying for the scholarship, please share with us more information why this appeals to you.You can either apply for the full scholarship (course fee €0) or the partial scholarship (Course fee €500). Each scholarship holder should deliver a minimum of four kontakt kollektiv gatherings/ events - one between November - December 2023 and three between January - April 2024. You will be part of the team organizing kontakt kollektiv gatherings/ events in collaboration with the location where the Human Connector Academy will take place (in Hamburg).
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a. What are your expectations and motivation for joining the Human Connector Academy?* Dies ist ein Pflichtfeld.
Boost Professional Networking
Enhance Leadership Skills
Driving positive change
Improve Interpersonal Relationships
Strengthen Collaboration and Teamwork
Elevate Event Experiences
Nurture Personal Growth
Become a change agent
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b. What is your experience in facilitating, training, community building, and working with people of diverse backgrounds or similar (formal and informal)?* Dies ist ein Pflichtfeld.
Extensive Facilitation Experience
Professional Training Background
Community Building Expertise
Working with Diverse Backgrounds
Inclusive Approach
Cross-Cultural Competence
Informal Leadership
Strong Interpersonal Skills
Limited Experience, Eager to Learn
New to Facilitation, Ready for the Challenge
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a. How did ou find us/ the course?* Dies ist ein Pflichtfeld.
Instagram
Facebook
LinkedIn
Impact Hub Hamburg
Recommendation from a friend/ colleague
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b. Are you ready to embark on an exciting journey with the Human Connector Academy? By filling out this application, you're making a commitment to organise and facilitate your own 1-4 Kollektiv gatherings with our support, all set to take place from November 2023 to March 2024?* Dies ist ein Pflichtfeld.These gatherings can be any format you like: it can be a workshop related to a theme that you really love to talk about, it can be a picknick in the park, an activity or meetup in a café. The main thing is that it is related to the purpose of facilitating a space where Human Connections can thrive.
Yes, absolutely, excited to start this journey!No, I can't commit to this right now
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c. For that session/ workshop/ event/ meetup of your own it is helpful to find a space/ location that suits your idea of atmoshpere and your needs. Do you already have a location or idea for a place where you would love to host?Let us know if you already have a location in mind and which one it is. Also, let us know if you can organise it yourself or need our support.
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d. Is there anything else you would like to share or inquire about?
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