{"id":9147,"date":"2022-06-07T19:34:47","date_gmt":"2022-06-07T23:34:47","guid":{"rendered":"https:\/\/roseninstitute.net\/?page_id=9147"},"modified":"2026-06-04T09:12:01","modified_gmt":"2026-06-04T13:12:01","slug":"mentorship-program-application","status":"publish","type":"page","link":"https:\/\/roseninstitute.net\/fi\/mentorship-program-application\/","title":{"rendered":"Mentorship Program Application"},"content":{"rendered":"<div class=\"main-content-inner p-20 membershi\">\r\n<h2>Mentorship Program Application<\/h2>\r\n<p>We will use the below information to help partner you with another professional. We will be in touch further talk about possible partners and provide information and answer any questions about the program. The program asks that you are willing to commit to a once a month connection for one year.<\/p>\r\n<\/div><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_26' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'>We will use the below information to help partner you with another professional. We will be in touch further talk about possible partners and provide information and answer any questions about the program.  The program asks that you are willing to commit to a once a month connection for one year.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_26'  action='\/fi\/wp-json\/wp\/v2\/pages\/9147' data-formid='26' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_26' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_26_14\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_14'>Phone<\/label><div class='gfield_description' id='gfield_description_26_14'>Kentt\u00e4 on validointitarkoituksiin ja tulee j\u00e4tt\u00e4\u00e4 koskemattomaksi.<\/div><div class='ginput_container'><input name='input_14' id='input_26_14' type='text' value='' autocomplete='new-password'\/><\/div><\/div><fieldset id=\"field_26_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Pakollinen)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_26_1'>\n                            \n                            <span id='input_26_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_26_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_26_1_3' class='gform-field-label gform-field-label--type-sub '>Etunimi<\/label>\n                                                <\/span>\n                            \n                            <span id='input_26_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_26_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_26_1_6' class='gform-field-label gform-field-label--type-sub '>Sukunimi<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_26_2\" class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_2'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Pakollinen)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_26_2' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_26_3\" class=\"gfield gfield--type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_3'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Pakollinen)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_26_3' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_26_13\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_13'>What city and country do you live in?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Pakollinen)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_26_13' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_26_4\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please check all that apply<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Pakollinen)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_26_4'>Tell us how many certifications you hold.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_26_4'><div class='gchoice gchoice_26_4_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.1' type='checkbox'  value='Bodywork Practitioner'  id='choice_26_4_1'   aria-describedby=\"gfield_description_26_4\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_26_4_1' id='label_26_4_1' class='gform-field-label gform-field-label--type-inline'>Bodywork Practitioner<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_26_4_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.2' type='checkbox'  value='Movement Teacher'  id='choice_26_4_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_26_4_2' id='label_26_4_2' class='gform-field-label gform-field-label--type-inline'>Movement Teacher<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_26_4_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.3' type='checkbox'  value='Workshop Teacher'  id='choice_26_4_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_26_4_3' id='label_26_4_3' class='gform-field-label gform-field-label--type-inline'>Workshop Teacher<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_26_4_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.4' type='checkbox'  value='Certified\/Senior Bodywork Teacher'  id='choice_26_4_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_26_4_4' id='label_26_4_4' class='gform-field-label gform-field-label--type-inline'>Certified\/Senior Bodywork Teacher<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_26_4_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.5' type='checkbox'  value='Certified\/Senior Movement Teacher Trainer'  id='choice_26_4_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_26_4_5' id='label_26_4_5' class='gform-field-label gform-field-label--type-inline'>Certified\/Senior Movement Teacher Trainer<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_26_11\" class=\"gfield gfield--type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_11'>How many years have you been in practice?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Pakollinen)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_11' id='input_26_11' type='number' step='any' min='1' max='40' value='' class='small'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_26_11\" \/><div class='gfield_description instruction ' id='gfield_instruction_26_11'>Anna numero v\u00e4lilt\u00e4 <strong>1<\/strong> &#8211; <strong>40<\/strong>.<\/div><\/div><\/div><div id=\"field_26_5\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_5'>Schools\/Training Centers Attended and Years Attended<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Pakollinen)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_26_5'>Please list the schools\/centers where you trained and the years you attended. <\/div><div class='ginput_container ginput_container_text'><input name='input_5' id='input_26_5' type='text' value='' class='large'  aria-describedby=\"gfield_description_26_5\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_26_6\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_6'>What is your first language?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Pakollinen)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_26_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_26_7\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_7'>Do you speak other languages?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Pakollinen)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_26_7'>Please list languages you would be willing to communicate in with your partner.  <\/div><div class='ginput_container ginput_container_text'><input name='input_7' id='input_26_7' type='text' value='' class='large'  aria-describedby=\"gfield_description_26_7\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_26_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Would you like to be a mentor or mentee?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Pakollinen)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_26_8'>\n\t\t\t<div class='gchoice gchoice_26_8_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Mentor'  id='choice_26_8_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_26_8_0' id='label_26_8_0' class='gform-field-label gform-field-label--type-inline'>Mentor<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_26_8_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Mentee'  id='choice_26_8_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_26_8_1' id='label_26_8_1' class='gform-field-label gform-field-label--type-inline'>Mentee<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_26_8_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Both'  id='choice_26_8_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_26_8_2' id='label_26_8_2' class='gform-field-label gform-field-label--type-inline'>Both<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_26_9\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_9'>Why do you want to be mentor?<\/label><div class='gfield_description' id='gfield_description_26_9'>If you could, please share a few words about why you would like to be a mentor. (Comments in any language welcomed.)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_9' id='input_26_9' class='textarea large'  aria-describedby=\"gfield_description_26_9\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_26_10\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_10'>What kind of support are you looking for?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Pakollinen)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_26_10'>Comments in any language welcomed.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_10' id='input_26_10' class='textarea large'  aria-describedby=\"gfield_description_26_10\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_26_12\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_26_12'>What kind of support are you looking for?<\/label><div class='gfield_description' id='gfield_description_26_12'>If you would like to be BOTH a mentor and a mentee please tell us more about your situation and what you are hoping for as a mentee and mentor.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_12' id='input_26_12' class='textarea large'  aria-describedby=\"gfield_description_26_12\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_26' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_26' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_26' id='gform_theme_26' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_26' id='gform_style_settings_26' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_26' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='26' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='mtLBkmLTv70G3XxgrkT3sFw2ywxXf9ZLkt9wJK8z9FE6UBk6uf3fe1fqkN38mB87ZbK0gSKFBMfAjFANm0C6iwlfl7zn4p\/j8rEtPTGW\/Sw7974=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_26' value='WyJ7XCI4XCI6W1wiMGNiYTQxOTYwYjEzMjk1OGIxZWNmZTdiYmM2NTEzNGJcIixcIjViYzkyMjFlYjM2ZGFjNjcyODg0YjQ4N2IzMTJhYjNjXCIsXCIyMzg3YjBmMTNlYjdlZmMyN2U0YzZjMjhiMmI3NmMzYlwiXX0iLCJlZDBiY2JkYzE4NTNjMTIwZDBkZWJiZjA5ZTBmNGI0OCJd' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_26' id='gform_target_page_number_26' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_26' id='gform_source_page_number_26' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"31\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><\/form>\n                        <\/div><script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 26, 'https:\/\/roseninstitute.net\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_26').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_26');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_26').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! 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We will be in touch further talk about possible partners and provide information and answer any questions about the program. 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