Adult Development Assessment: The SOI Registration

Basic Information

Name*

First Last

Organization (if applicable)

Email*

Enter Email Confirm Email

Please ensure your email address is entered correctly. Your e-invoice and all workshop communication will be sent to this address. Please separate multiple email addresses with a comma.

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Registration

Which Online Subject-Object Interview session would you like to participate in?*

Don't see your preferred program? It may be full. Please join the wait list.

Choose a Waitlist*

Thursday Cohort (2 - 5 PM US Eastern): July 1, July 8, July 15, July 22, July 29 + optional Q&A August 5

Please select your registration type.*

Standard ($3,950)
Non-profit ($2,750)
Full time student ($2,250)

This rate is reserved for those who work exclusively in a non-profit organization

Please enter your non-profit organization's name.*

Please enter your non-profit organization's tax ID number.*

IMPORTANT REQUEST RE: STUDENT TUITION: You have selected the full-time student tuition type. If you are a working professional and carrying a full course load, we respectfully ask that you choose your work-related professional context above, especially if your employer is paying for the workshop. This helps enable us to continue to make our courses accessible to students who are not working while they are in school. Thank you!

What is the name of your institution?*

What is your degree program?*

What is your expected year of graduation?*

Please provide us with the name and telephone number of a program contact who can verify your full-time student status.*

Are you also seeking Certification in the SOI Interview?

Yes ($500 fee)

You will learn more about Certification at session 1, and can opt-in to Certification at that time by emailing us: office@mindsatwork.com.

Total

Background Information

Please describe your familiarity with Robert Kegan's constructive-developmental theory of adult development.*

How did you learn about the SOI Workshop? (You may select more than one answer.)

Evolving Self, In Over Our Heads, or other published work
mindsatwork.com website
subjectobjectchange.com website
A colleague/friend/family member
A coach or other helping professional
Immunity to Change workshop or program
Other

If "Other", please specify:

Billing Information

After submitting this form, our finance team will supply an invoice with payment instructions. Your credit card information will be processed securely by Intuit.

Please provide billing contact information

Same as above

Name*

First Last

Organization (if applicable)*

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

I agree to the Minds at Work cancellation policy*

By checking this box, I confirm that I have read and understand the cancellation policy.

I agree to the Minds at Work user agreement*

By checking this box, I confirm that I have read and understand the user agreement.

Please read this document carefully and save a copy for your records. It contains important information on and instructions that govern your use of Minds at Work’s intellectual property. If you have any questions about the agreement, please contact our office.

Adult Development Assessment: The SOI Registration

Subject-Object Interview
Registration

SOI Registration 2021

Basic Information

Registration

Background Information

Billing Information

Overcome your IMMUNITY TO CHANGE^TM

Subject-Object Interview Registration

SOI Registration 2021

Basic Information

Registration

Background Information

Billing Information

Overcome your IMMUNITY TO CHANGETM

Subject-Object Interview
Registration

Overcome your IMMUNITY TO CHANGE^TM