1. health and fitness
2. disease
3. cancer

Renewing Life™ … a helpful next step
along your healing journey.
3-DAY RENEWING LIFE™ OR WHOLE HEARTED LIVING RETREAT FOR
BREAST CANCER SURVIVORS - PARTICIPANT APPLICATION
Thank you for your interest in attending a Pathways Renewing Life™ and Whole Hearted Living Breast Cancer
Survivors Retreat (see other side of this form for retreat details). In order to be eligible for these retreats, a
Participant must be a breast cancer survivor (at any stage) and have a household income of $40,000 or less
(income guidelines may be flexible with regard to medical debt).
To submit your name for an opportunity to attend a Pathways Renewing Life™ or Whole Hearted Living Retreat,
please check the date for which you would like to apply:
Renewing Life- June 26-28, 2015 - Wayzata, MN Application deadline: June 8, 2015
Whole Hearted Living - August 21-23, 2015 - St. Joseph, MN: Application deadline: August 3, 2015
Renewing Life – September 18-20, 2015 – Baudette, MN: Application deadline: August 31, 2015
Renewing Life- February 19-21, 2016 – Farmington, MN : Application deadline: February 1, 2016
*NOTE* All retreats start at 9:00 AM on Friday and end at 4:00 PM on Sunday.
Participants will be randomly selected from the total number of applications submitted for each retreat. All
applicants will receive a phone call from Pathways notifying them of their status into the program.
Name:
Address:
City:
State:
Day Phone:
Cell Phone:
Zip:
Email:
Yes, I am a breast cancer survivor & my household income is $40,000 or less or I am carrying heavy medical debt.
How did you hear about these retreats?
By signing below I agree that the information provided in this application is true and correct to the best of my
knowledge and belief. I agree to notify Pathways should any of my information change prior to the start of a
retreat.
Signature:
Date:
Please mail or drop-off this completed application to: Pathways, 3115 Hennepin AVE S, Minneapolis, MN 55408
RENEWING LIFE™ AND WHOLE HEARTED LIVING RETREATS FOR
WOMEN WHO ARE BREAST CANCER SURVIVORS
FUNDING PROVIDED THROUGH THE SUSAN G. KOMEN MINNESOTA FOUNDATION
Who:
Any woman who is a breast cancer survivor (at any stage) and whose household
income is $40,000 or below. Income guidelines may be flexible with regard to
medical debt.
What:
Facilitated Renewing Life and Whole Hearted Living three day retreats
Retreat Dates:
1) Renewing Life- June 26 – 28, 2015 - Wayzata, MN
2) Whole Hearted- August 22 - 24, 2015- St. Joseph, MN
3) Renewing Life- September 18-20, 2015 Baudette, MN
4) Renewing Life- February 19-21, 2016 - Farmington, MN
*NOTE* All retreats start at 9:00 am on Friday and end at 4:00 pm on Sunday
Cost:
There is no cost to participants to attend, other than the expenses involved in
traveling to and from the retreat location.
Key Concepts of Renewing Life™
• Using the circumstances of your life as a springboard for living well
• Re-framing to accommodate experience, awareness, and development
• Creating a positive change out of crisis
• A trigger for personal development
• Expanding self
• Redefining the purpose and meaning of life
• Healing emotionally
• Seeing opportunity and finding meaning in illness
Key Concepts of Whole Hearted Living- based on the research of Dr. Brené Brown
• How to choose courage and authenticity over pretending, blaming, pleasing and perfecting.
• How to increase self-compassion, empathy, and connection; the antidotes to shame.
• How shame triggers drive that feeling of not being enough.
• How to activate our courage to own and fully share gifts in the workplace and at home.
• How to develop shame resilience skills that will support living and loving with our whole hearts.