Mentoring application form — The Grief Space

Grief tending mentoring

Application form

This application will take about 10 minutes to complete. Please take your time responding to the questions in a concise but detailed way. Be as authentic as you can.

Once we have received your application we will be in touch to arrange a connection call with Nici.

We look forward to reading all your applications. Thank you for your courage and heart to show up for these times.

~~ YOUR DETAILS ~~

Your name

First Name

Last Name

Your email

Your phone number

Country

(###)

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Gender (and preferred pronouns)

~~ ABOUT YOU ~~

What calls you to the work of grief tending?

What is your relationship with grief? How have you tended the sorrows in your life?

What do you most want to learn in this mentoring?

Do you have a sense of how / where / to who you would like to share these grief tending practices?

How did you hear about this? Have you done any work with The Grief Space before, or any of the other teachers?

~~ LIFE EXPERIENCES ~~

Have you experienced any significant traumas? If yes, how have you received support?

How well supported do you feel in your life? Who / who gives you joy and comfort?

Please select the text below that feels most true for you in how you respond when you get triggered or activated

I freeze on the spot and find it hard to know what to do or say

If I can, I run/get away and want to be on my own

I get defensive and feel the need to explain and justify

Inside I'm feeling fear but I put a smile on my face and pretend it's all fine

I override myself and tell the other person whatever they need to hear, just to keep the peace

I can get a bit argumentative and find it hard to back down

How do you restore yourself to your adult self when you are taken over (triggered) by one of these states above?

What daily practices do you do that are nourishing and help regulate your nervous system ?

Have you had any mental health challenges, either currently or in the past?

If yes, please explain what they are / were, what support you received and how it’s effecting you now.

Are you engaging in any one-to-one support at this time?

~~ INCLUSION ~~

We aim to create spaces of care for all who gather, this includes awareness and openness to social justice values.

Can you share about your understanding of your own social identity and privileges? What anti-oppression education or healing have you participated in?

Is there anything else that you think we should know about you to hold the space with more care?

~~ DECLARATIONS ~~

Privacy Statement

Please agree to The Grief Space storing your data. Your shared responses and contact details are strictly confidential. They will only be kept within The Grief Space organisation to decide on your suitability for mentoring.

I agree

Declaration

Please agree that you have answered the question above in complete honesty and not omitted any information

I agree

Grief tending mentoring

Application form

Discover the medicine of grief