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 PIECES IF YOU LIKE (BIT BY
BIT)
|
Section
1 |
Where did you hear about us? |
|
Classes Applying for: |
| Sound Healing & Therapy Degree Program |
Starting:
$15,900 |
| Sound Healing and Therapy Certificate Program |
Starting:
$3000 |
| Sound Healing Audio Recording and Production & Labs |
Starting:
$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: |
| Sound Healing and Therapy Overview |
Starting:
$645 |
| BioPhysical Model of Mind, Body, & Spirit |
Starting:
$140 |
| Inner Awareness and Transformation through Sound |
Starting:
$270 |
| Inner Music |
Starting:
$360 |
| The Healing Voice |
Starting:
$300 |
| Tuning Forks |
Starting:
$120 |
| Sacred Voice |
Starting:
$180 |
| Resonant Connections |
Starting:
$525 |
| Sacred Geometry |
Starting:
$180 |
| Music of the Quantum Spheres |
Starting:
$120 |
| Harmonic Law - Science of Vibration |
Starting:
$150 |
| Sound Healing and Therapy Labs |
Starting:
$360 |
|
|
|
|
| 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? |
|
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 |
|
ENTER
AMOUNT
$500 - $2000 for Certificate or Degree
$150 for Shorter Classes |
|
| CREDIT
CARD NUMBER |
|
| CREDIT
CARD EXP DATE |
|
| NAME
ON CREDIT CARD |
|
Frequencies, Intervals, & Music