Powerful Authenticity 360 Application Full Name* First Last Email* The best email to reach you Confirm Email* The best email to reach you What is the best phone number to reach you?*What is your username or email used on Facebook?*The workshop will be held in a private and closed Facebook group. In order to give you access, please provide your username and/or email to find you.What attracted you to Erika's Powerful Authenticity 360 Workshop?*What is your primary goal for participation?*On a scale from 1 to 10 where 1 is "Not at all important" and 10 is "Extremely important", how important is living authentically to you?*Please enter a number from 1 to 10.At the end of the workshop, what would you like to have accomplished, come to terms with, or explored?*In other words, what is different for you at the end of the workshop?At the end of the workshop, how would you like to have shown up in the group and with the other participants?*On a scale from 1 to 10 where 1 is "Not At All" and 10 is "Heck Yeah, I'm in", how willing are you to fully engage, try something new, and be vulnerable to best explore what living authentically means to you?*Please enter a number from 1 to 10.Authenticity is not just a thought experiment - it takes action and vulnerability. Consider if you are in a space to fully engage in the workshop.CommentsThis field is for validation purposes and should be left unchanged.