ESD+ Facilitator Training
Application Form

PLEASE NOTE: This training is only available to female applicants or male applicants enrolling as part of a co-facilitation team with a female co-instructor. This is a train-the-trainer program which enables you to run ESD+ programs. It does not certify you to train others to run ESD+ programs.

These trainings are conducted by a lead female instructor and a male co-instructor and run from Wednesday to Saturday

These are 4 day trainings running from Wednesday to Saturday.

Please ensure that you can make all four days before applying.

Which training location are you applying for?*

Cowra (Wed 13th May - Sat 16th May 2026)

First name*

Last name*

Email*

Phone*

Age (optional)

How did you hear about the training?*

Organisation and role / position held (if applicable)

Please outline any experience you have with vulnerable populations and/or trauma survivors or other qualifications/experience relevant to this training

Why do you want to be an ESD+ facilitator? *

How do you plan on using the ESD+ Facilitator Training?*

In order to be Certified you will need to complete the full program. Are you able to commit to the full 4 day training (9:00am-5.15pm) plus a pre-requisite online module?*

Yes

Other

Are you prepared to commit to giving back, by running a minimum of 20 hours of Free/Low Cost community ESD+ workshops in the 12 months following the Facilitator Training?*

Yes

Other

Would you like to participate in the monthly 1hr mentoring program following the Facilitator Training?*

Yes

Maybe

Are you willing to provide feedback from your ESD+ Facilitator Training to Empowered Today?*

Yes

Other

Are you willing to provide feedback from the students who attend your ESD+ workshops, to Empowered Today?*

Yes

Other

If you have any martial arts experience please briefly describe:

Any additional comments:

Empowered Today Inc. acknowledges the Traditional Custodians upon whose ancestral lands we live and work.
We pay respect to their Elders, past present and emerging, and acknowledge the continuing connection that Indigenous peoples have to the land, sea, sky and waterways.
Sovereignty has never been ceded.

ESD+ Facilitator Training Application Form

ESD+ Facilitator Training
Application Form