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
and
we will also need transcripts from any College you went to, or a high school diploma (or GED).
It is not necessary that the transcripts are official. You can email them to us or send to:
Globe Institute 351 9th St. #202 San Francisco, CA 94103

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 and Therapy Certificate Program AT THE INSTITUTE


$2600

Starting:



Associates Degree in Sound Healing
and Therapy
AT THE INSTITUTE


$11,600

Starting:



Sound Healing and Therapy
Certificate Program
ONLINE


$2000

Starting:



Associates Degree in Sound Healing
and Therapy
ONLINE


$8,000

Starting:



SUMMER INTENSIVE
Sound Healing
Program


$1485 each

Starting:



Recording Arts and Technology
Certificate Program
AT THE INSTITUTE


$3800

Starting:



Recording Arts and Technology Program
(1/2 of Certificate Program)
ONLINE


$1485

Starting:



Recording Arts and Technology
Program Certificate
ONLINE


$3800

Starting:

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
Please enter date you would like to start:
$480 - 36 Hours
SH101L
Sound Healing and Therapy Labs

Please enter date you would like to start:
$280 - 21 Hours

SH110
Inner Awareness and Transformation through Sound
Please enter date you would like to start:
$320 - 24 Hours
SH120
Inner Music
Please enter date you would like to start:
$360 - 27 Hours
SH130
Natural Acoustic Sound Healing Instruments

Please enter date you would like to start:
$480 - 36 Hours

SH200
Sound, Consiousness and Spirituality

Please enter date you would like to start:
$440 - 33 Hours

Individual Instructor's Class (Enter Name of Class or Instructor)
   
   
Email Address
First Name
Last Name
Address
City
State/Province Zip/
Postal Code
Country
Home Phone
Cell Phone
Work Phone
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