Name
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First Name
Last Name
Email
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Phone
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City / State / Country of Residence
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What is your age?
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This training is offered in two phases. The first is to integrate your Source Connection as you move within the physical world. The second is to help integrate it into your relationships, emotional world and your life's work.
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What is your motivation for joining this training?
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Do you know what your calling or purpose is in this life?
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There are no right or wrong answers. If do know what your calling is, please share how you are living or pursuing it. What inspires you about it? What challenges you?
Briefly explain your experience with meditation, yoga, spiritual or transformative practices, peak experience & self care routines.
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Have you ever experienced a spiritual awakening of any kind? Please briefly describe.
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What practices do you currently engage with? Please briefly describe what they are, how often, and for how long you've been doing them.
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Live participation for each session is strongly encouraged to support group cohesion however recordings of each class will be available. That said, only two absences are allowed if you wish to advance to the Phase 2 training. *Exceptions can be made with advance notice & prior approval from the instructor before the training begins. **If you're schedule doesn't allow you to attend live at all and you already know yourself to be sensitive to this energy via prerecorded sessions, it is possible to participate solely in this way however 1:1 mentorship sessions will be required to ensure the material is fully absorbed. Please address any attendance issues you may have here
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This course requires daily practices with a minimum commitment of 30 minutes a day, 4 days a week for 4 weeks after the training to be most effective. To be effective, it is recommended to prioritize this practice over ongoing personal practices during this time of integration.
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Can you commit at this time?
Have you ever been hospitalized for mental health reasons or experienced a spiritual emergency or crisis of any kind? (Please describe) *
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Are you currently on any medications for mental health reasons? If yes, which? *
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Do you currently use recreational or ceremonial drugs / medicines? If so which and how frequently?
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A commitment of sobriety for the duration of the training and minimum 1 week afterwards is required. Are you willing to refrain from the use of all mind altering substances for this duration? Yes / No / Other...
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Payment Plans
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If you are interested in receiving private coaching and mentorship in addition to the training, please select a package below.
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This is highly recommended if you know you will be likely to miss multiple live sessions. Sessions must be scheduled no later than one month after training ends. Note: Phase 2 tuition includes one 90 min private coaching session.
Are you applying with a friend? If yes, please enter their name.
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How did you first learn about Source Embodiment? If it was a person, please share their name.
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Do you have any questions, concerns or additional information you'd like us to know?
