The Beginning Experience Weekend
Application
B.E. of Eastern North Dakota
Today’s Date: _____________ Local B.E. Area Affiliated with: _________________________
Date of Beginning Experience Weekend applying to attend: ______________________________
Last Name: ___________________ First Name: ____________________________________
City:
Home Phone: (____) __________Business Phone: (____) ___________e-mail: ______________
Male: _____ Female: _____ Religious Affiliation: ___________________Birthdate: ___________
Number of Children: _____ Ages of Children: _________________________________________
Separated _____how long ago? ______________________ married for how long? _____________
Divorced _____ how long ago? ______________________ married for how long? _____________
Widowed _____how long ago? ______________________ married for how long? _____________
Never married ______
acquaintances who have attended a B.E. Weekend and / or names of persons you have spoken to about
your readiness to participate in a Weekend.)_______________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Level # : _____ Date: ____________Name of Level Coordinator: _________________________________
Level # : _____ Date: ____________ Name of Level Coordinator: ________________________________
Level # : _____ Date: ____________ Name of Level Coordinator: ________________________________
Address: ______________________________________________________________________________
Please obtain a written acknowledgment from your counselor or therapist that you are ready to participate in
a B.E. Weekend. This can be mailed directly to the address at the end of this form or included with this
application.
Please explain: _______________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Please list their names:
________________________________________ ________________________________________________
________________________________________ ________________________________________________
6. The total cost of the B.E. Weekend is $130.00 ( This includes the cost of housing, meals, materials, and
dues to B.E. International. No team members are paid. They donate their time, effort, mileage, even long
distance calls). We ask that a $45.00 deposit be paid with this application. The balance due may be paid
on the B.E. Weekend or you may work out a payment plan at the time of the Weekend.
NO ONE IS TURNED AWAY FROM THE B.E. WEEKEND BECAUSE OF INABILITY
TO PAY. If the cost of the B.E. Weekend is a hardship for you, please talk to one of your local B.E. leaders.
Scholarship funds are available or a payment plan can be worked out.
Near the end of the Weekend, you will be asked for your final payment. A plea will also be made for additional donations. We encourage those who can, to give financial support to the Weekend. This additional support is not only used to support B.E. in general, but it is the primary source of our scholarship funds which allow individuals with financial hardship to attend a B.E. Weekend.
______________Enclosed is payment in full. ($130.00)
______________ Enclosed is my $45.00 deposit, the balance is to be paid at the Weekend.
(Checks payable to: Beginning Experience of
_______________ I need information about financing options.
Applications are accepted on a first-come, first-served basis. After your application has been processed, you will receive confirmation that you have been accepted to attend the B.E. Weekend. At that time you will also receive a list of items to bring and directions to the Weekend location.
Please list any questions or concerns: ________________________________________________________________________________
______________________________________________________________________________________________________________
Return this form to: Beginning Experience of
Beginning Experience
of
Counselor/Therapist Approval Form
After reviewing the Beginning Experience Weekend process as it applies to my client, (name)_________________________________,
it is my professional opinion that he/she be ACCEPTED to attend.
It is my recommendation that my client, name______________________________________ NOT be accepted
to participate in a Beginning Experience Weekend at this time.
SIGNED:___________________________________
Date:_________________________________________________
Counselor/Therapist Name:_____________________________________
Address:_________________________________
_________________________________________
Telephone #:_________________________
Please return this form immediately to: Beginning Experience of