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WWW Staffing Fee Payment Details UK Bank Transfer ~ This is our preferred options as it incurs no cost to us. Into Transitions Europe bank account Account name: Transitions Europe Account number: 65708334 Sort code: 08-92-99 Please include the word STAFF and Your Name. If space allows add the Training Date eg Apr18. Cheque Please make payable to Transitions Europe and send to Liz Megson, 44 Ainsworth Court, Plough Close, London NW10 5BD UK. Please include the word STAFF and Your Name. If space allows add the Training Date eg Apr 18 on the back of the cheque. International Bank Transfer If you're paying from an international bank account please use the following details: Account name: Transitions Europe IBAN: GB25CPBK08929965708334 BIC/SWIFT: CPBKGB22 Bank address: Co-operative Bank, PO Box 250, Skelmersdale, WN8 6WT Please include the word STAFF and Your Name. If space allows add the Training Date eg Apr18. PayPal Account name: [email protected] Please note that Woman Within UK incurs a £2.00 transaction fee for each £100 transferred using Paypal and more for for non UK accounts. I believe if the transfer is made as a donation then there is no charge. PAY NOW Button on the Website This will automatically direct you to the Paypal link where you can pay by debit or credit card, whether you have a paypal account or not. There is a £2 charge incurred by Woman Within UK for using this payment method. Woman Within® Weekend STAFF INFORMED CONSENT and LIABILITY RELEASE FORM (2 pages) • I commit to be at the location of the Woman Within Weekend by 8:00 a.m. on the first day of the Weekend and I commit to stay on site after my arrival until completion on the last day, the exception being if I am directed by the Team Leader to leave and purchase additional supplies for the weekend. • I also commit to attend the Celebration as part of the preparation and completion of my duties as staff member. Should I not be able to attend for valid reasons, I will inform the Team Leader. • I voluntarily consent to staff this Weekend and realize that I am responsible for my actions during this Weekend. I understand that, in addition to my staff responsibilities, there is always the risk of emotional and/or physical contingencies in such a group experience. I assume the risk, by this consent, of any accident or injury to myself or inflicted by me during the Weekend, and hereby release Woman Within® International, Ltd. and the host region of this Woman Within® Weekend from liability therefrom. • I take responsibility for consulting with a medical doctor concerning any known or potential physical or mental condition that I have or may have, for the purpose of getting medical permission to staff this Weekend. I assume the risk, by this consent of any illness during the Weekend, and hereby release Woman Within® International, Ltd. and the host region of this Woman Within® Weekend from any liability therefrom. • I understand that I am responsible for my own health care needs before, during and after the Weekend. I understand that I am to bring my own prescription medication as needed for allergies, medical conditions, sensitivities, etc, such as epi-pen, antibiotics, heart medication, etc. If OTC (over the counter) medications are needed, it is my responsibility to provide these as well (aspirin, antihistamines, cold capsules, cough drops, etc). I understand that should I forget to bring such health care needs it is my responsibility to make necessary arrangements to acquire what I need by contacting a local pharmacy or clinic. The staff of WW will not supply, nor administer, any meds, whether environmental, prescription or OTC. I understand that it is my responsibility to check the laws of the state that I will be visiting before traveling with my prescription medication, as not all medication is legal in all states. • I understand there is safety staff assigned at each WWW; however, their skills and supplies are limited to addressing minor cuts and scrapes only. They are not qualified to administer medications or make a diagnosis of my situation. If in doubt, they will call the local emergency personnel on my behalf and ask the emergency personnel to come to the site and administer first aid to me, at my expense. I understand that I am responsible for having the information regarding any medical coverage that I may carry with me at the weekend, and that the person designated as my emergency contact shall also have that information in case of medical emergency in which I am unable to provide the information. i.e. health carrier information, member ID and or group number, phone number. • I hereby authorize the responsible staff to take any reasonable steps on my behalf in the case of an accident, injury, or illness, including, but not limited to emergency first aid, doctor, nurse and/or ambulance services, etc. I agree to be liable for the cost of any such action taken on my behalf, and hereby release Woman Within International, Ltd. and the host region of this Woman Within® Weekend from liability therefrom. • If I do not want to be transported by ambulance and choose to be transported by automobile for any such action taken on my behalf, I hereby release Woman Within®, its leaders, facilitators, WWW Policies Manual – November 2007 – Staff – Page 1 of 2 – updated November 2017 – effective January 2018 Woman Within® Weekend presenters, workshop organizers, and staff from liability therefrom. If, for any reason, I am not able to determine the best transport option in a medical emergency, I hereby authorize the staff members of the Weekend to determine the best option in seeking medical care. I agree to be liable for the cost of any such action taken on my behalf, and hereby release Woman Within®, its leaders, facilitators, presenters, workshop organizers, and staff from liability therefrom. • I take responsibility for investigating and adhering to the code of ethics for my profession regarding the disclosure of abuse on children, the elderly, or any other person. • I am physically, intellectually, emotionally and spiritually prepared to staff this Weekend. • I will not consume alcohol or recreational drugs twenty-four (24) hours before the Weekend and during the Weekend. • I will not have sexual contact with another staff member or with any participant during the Weekend. • I will not engage in any new sexual relationship with a participant for at least one year after having staffed the participant’s weekend. • I will not engage in any new formal or informal contractual agreement with a participant from this same weekend for a period of three (3) months. Confidentiality Agreement: • I agree to respect the confidentiality of all staff and participants attending the Woman Within® Weekend (WWW)—their names and their remarks—so that their participation and their communication are not taken out of context. • In order to not compromise the sense of safety of any participant, I agree to refrain from posting about the WWW on any form of social media from the time I arrive on Thursday through the conclusion of the weekend. This includes photos of me, the site, other staff, and status updates. Once the weekend has concluded, I understand that I am free to post on social media within the parameters of the Woman Within confidentiality agreement and the standard consent and release for use of likeness form. • I am also aware that the exercises and readings of the WWW cannot be duplicated without express written permission of Woman Within® International, Ltd. • This agreement does not preclude me from freely sharing my experience with anyone I choose, as long as the confidentiality of the staff and participants is maintained. The Woman Within® Weekend Leadership reserves the right to terminate this contract and my participation in the Weekend at any time. I agree to the above terms and conditions of the Consent, Liability Release and Confidentiality. Signature ____________________________ Printed name________________________ Weekend date ______________________ Today’s date ________________________ WWW Policies Manual – November 2007 – Staff – Page 2 of 2 – updated November 2017 – effective January 2018 Woman Within® Weekend PIES FOR STAFF Link this to what participants are learning PHYSICAL • Take care of yourself throughout the weekend - pace yourself, monitor your energy level. • Be health conscious - aware of using and overindulging on caffeine and sugar – big high, followed by energy let-down. • Wash hands often. • In picking up Kleenex, pick up with another Kleenex • Smudge or get smudged, if no allergies. • Watch actions in front of Participants - i.e. prolonged hugging or kissing. • Remember to breathe! • No sexual contact or activity. • Smokers… monitor level & cut down. Don’t smoke in front of Participants. • Use deodorant. • Caretaking: When we offer or complete a task for another woman based on what we think she needs or to sooth our discomfort with her situation, the priority becomes our agenda rather than hers. We rob her of an opportunity to empower herself through identifying, and requesting what she wants. • Caring: is demonstrated when we can be attentive to her requests or sharing, and provide a service if we chose. The focus is her agenda. • Safety • Cover all cuts and open wounds. • If treating anyone or cleaning up blood, use gloves. • Antibacterial soaps. INTELLECTUAL • All have gifts we bring and we need your intellect • If you don't know, ask your team leader… • Weekend Leaders are available for personal clearings. • Trust what you know… Your life experience is what you bring to this weekend. EMOTIONAL • Emotions may surface through the weekend. If you need help getting into containment, see the Weekend Leader, not the facilitation team.
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