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
Degree Program
AT THE INSTITUTE
|
Starting:
$15,900 |
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) |
| Sound Healing and Therapy Overview |
Starting:
$600 |
| BioPhysical Model of Mind, Body, & Spirit |
Starting:
$100 |
| Inner Awareness and Transformation through Sound |
Starting:
$200 |
| Sound of Love |
Starting:
$200 |
| Inner Music Theory |
Starting:
$250 |
| Sound and Rhythm |
Starting:
$100 |
| The Healing Voice |
Starting:
$250 |
| Tuning Forks |
Starting:
$50 |
| Sacred Voice |
Starting:
$100 |
| Toning, Chanting, and Mantra |
Starting:
$300 |
| Sound and Movement |
Starting:
$100 |
| Resonant Connections |
Starting:
$350 |
| Sacred Geometry |
Starting:
$200 |
| Music of the Quantum Spheres |
Starting:
$100 |
| Sound Healing and Therapy Labs |
Starting:
$350 |
|
|
|
|
| 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 |
|
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 |
|
Frequencies, Intervals, & Music