Application for Visionary FireKeepers at the Crossroads
Session #1: April 28 to May 1, 2022
Session #2: Sept. 22-25, 2022.
Plus seven online Fire Circles and two individual mentorships between April and September

This program includes experiences that access dimensions of yourself that are beyond your ordinary consciousness. Out of respect and care, we want the program to be a good match for you and the other participants. We hold your responses in confidentiality.
Sign in to Google to save your progress. Learn more
Name *
Email Address *
Phone Number *
Address
What draws you to this program? *
Tell us briefly about a turning point in your life, how you navigated this time, how it transformed you or your path, and what inner resources you developed or strengthened as a result. *
If you have experienced trauma in your past, tell us briefly about the healing resources you can draw upon should your participation in the program activate past challenges.
What processes do you use for your emotional and psychological support? *
If you were to imagine the most soul-level satisfying sort of person you might become as a FireKeeper for the collective, tell us about them! *
Are you currently taking any prescription or over-the-counter medications or recreational drugs? If so, what are they and what are they for? *
Are your COVID vaccinations up to date? *
Is there anything else you want us to know about yourself and your interest in FireKeepers at the Crossroads?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms