Name *

First Name

Last Name

Address *

We require your address to mail you the course book bundle.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Have you participated in What Matters previously? *

Yes, I was a student previously.

No, this is my first time.

I am excited to join this cohort and my preference for paying tuition is selected below: *

I can pay for the Full Experience Tuition of the cohort in the next 48 hours ($4,200).

I can submit a deposit towards the Full Experience Tuition (Payment Plan) of the cohort within the next 48 hours.

I can pay for the Class Only Tuition of the cohort in the next 48 hours ($3,200).

I can submit a deposit towards the Class Only Tuition (Payment Plan) of the cohort within the next 48 hours.

Please send me a link to apply for a Partial Scholarship ($2,800).

What is your gender identity?

Male

Female

Non-binary/genderqueer

Prefer not to say

Do you identify as LGBTQIA+?

Yes, I identify as LGBTQIA+

No, I identify as straight and cisgender

Prefer not to say

What is your ethnicity/race?

White

Black or African American

Asian

Hispanic or Latino

Native American or Alaska Native

Native Hawaiian or Other Pacific Islander

Multiracial

Other

Prefer not to say

What is the primary language spoken at your home?

English

Spanish

Mandarin

Hindi

Arabic

Bengali

Other

Prefer not to say

Do you identify as a person with a disability?

Yes

No

Prefer not to say

How did you hear about What Matters? *

Harry Potter and the Sacred Text Podcast

Hot & Bothered Podcast

The Real Question Podcast

From a Not Sorry social media account (HPST, Hot & Bothered, The Real Question)

A friend referred me to What Matters

Through other media/general online search

From a Not Sorry Productions newsletter

Other

I understand that I am expected to comply with the community norms of What Matters and that I may be asked to depart the cohort without refund should I cause harm beyond repair by violating the community norms provided to the cohort during orientation. *

COMMUNITY NORMS AND GUIDELINES OF CONDUCT In What Matters, we operate under the following norms, and we will do our best to hold each other accountable to them. We also hold space for creating new norms with each unique cohort. The purpose of these norms is to set a tone for how we will interact as a group during the course of our time together. -Vulnerability should be like a yoga routine– feel free to push yourself a little, but please don’t risk hurting yourself. -Be aware of how much “air-time” you take in class. Be mindful of other students’ air-time as well as your own. -Take care of yourself! This class will be talking about some difficult things. Only you know what you need. Please be mindful of potential impacts on your classmates, and take good care of yourself during this time. -Please advocate for any disability accommodations you need, take space if you need it, and ask for support when needed. -Within the constructs of this class, please take care of your body! (This means stretching when necessary, eating if you need to, etc.) -Assume good intentions and avoid defensiveness regarding your impact. -Respect confidentiality. Remember to check with someone before talking to them about something they brought up in class!

Yes, I understand.