APPLICATION FOR ENROLLMENT


If applying for :
• Individual Classes you only need to fill out Sections 1 & 3
• Full Sound Healing and Therapy Certificate or Degree Program - Complete all 3 Sections


YOU CAN FILL OUT AND SEND THIS APPLICATION IN SECTIONS IF YOU LIKE

Section 1
Where did you hear about us?
Classes Applying for:


Sound Healing
Degree Program
AT THE INSTITUTE


Starting: $12,000


Sound Healing Certificate Program AT THE INSTITUTE


Starting: $3000


ONLINE with
Live Instructors
Sound Healing
Certificate Program


Please enter date you would like to start. CLICK HERE for schedule $2000


ONLINE
VIDEO VERSION
Sound Healing
Certificate Program


Start at your convenience
Please enter date you would like to start: $2000


Sound Healing Audio Production Certificate
AT THE INSTITUTE


Starting: $3800


ONLINE
Sound Healing
Audio Production


Please enter date you would like to start. Classes begin every 2 weeks. $1485

Prefer Day or Night?
(You may not
have a choice)
DAY NIGHT DON'T KNOW DOESN'T MATTER
Select if you would like to take Individual Classes only
(dates are based on starting of Semester, not class)
You may signup for individual instructors classes.
Individual classes are less when you signup for the whole Certificate Program.

SH101
Sound Healing and Therapy Overview
Starting: $600 - 36 Hours, 3 Credits
SH101L
Sound Healing and Therapy Labs

Starting: $350 - 21 Hours, 1 Credits

SH110
Inner Awareness and Transformation through Sound
Starting: $500 - 30 Hours, 2 Credits
SH120
Inner Music
Starting: $350 - 21 Hours, 1 Credit
SH130
Natural Acoustic Sound Healing Instruments

Starting: $850 - 51 Hours, 3 Credits

SH200
Sound, Consiousness and Spirituality

Starting: $600 - 36 Hours, 2 Credits

Individual Instructor's Class (Enter Name of Class or Instructor)
   
   
First Name
Middle Name
Last Name
Address
City
State/Province Zip/
Postal Code
Country
Home Phone
Cell Phone
Work Phone
Email Address
How often do you check your email?
Date of Birth
Occupation
In Case of Emergency Notify
Name
Full Address
Telephone


SECTION 2 (Full Sound Healing Programs Only)

SS#
Drivers License #
Last two Schools Attended
Name of Last School
Address
Dates of Attendance
Course of Study
Degree
Previous School Name
Address
Dates of Attendance
Course of Study
Degree
References
Name 1
Phone
Relationship
Name 2
Phone
Relationship
Name 3
Phone
Relationship
Personal Questionnaire
What would you like to get out of the classes?
What training have you had in the health field?
Are you a licensed health practitioner? Yes
If so, what is your area of expertise?
Are you a musician or songwriter? Yes
At what level of proficiency do you play?
Have you had any formal musical training/education? Yes
If yes, please describe
Languages fluent in
Do you have any physical limitations or disabilities that we should be aware of?

100 Word Essay on why you want to take classes at the Institute


(You can write it here, or you can write it elsewhere and email or mail it to us)

SECTION 3 - ALL APPLICANTS (INDIVIDUAL OR FULL PGM)
PAYMENT OPTIONS
PAY IN FULL
PAYMENT PLAN
(Only for Full Programs)
WILL SEND A CHECK
WILL CALL WITH A CREDIT CARD
WANT TO PAY IN PERSON
NOT READY TO PAY YET, JUST SUBMITTING THE APPLICATION
SUBMITTING PAYMENT
CHARGE FOR FULL AMOUNT

DOWNPAYMENT ONLY

IF DOING DOWNPAYMENT
ENTER AMOUNT
$750 - $2000 for Certificate or Degree
$150 for Shorter Classes

CREDIT CARD NUMBER
CREDIT CARD EXP DATE
CSV Code on Back
Name on Credit Card
If your billing address is different from your main address above, please enter it here:
Address
City
State/Province Zip/
Postal Code