Application for Practitioner Training in Ancient Secrets
CONGRATULATIONS - for believing in yourself and for trusting in your power to be an influence of good in the lives of others and on this planet.
You completing this application now for the Practitioner Certification Training in Ancient Secrets is an indication that you are here for a very important reason, and that your life is about to change for the better forever.

Fill out the answers to the following questions.
After your answers are received, and your application is reviewed, within 1 month, you will be sent an email with the status of your application.
If accepted, the email will include more info on how to register, participate, etc.
If not, the email will contain more information on other learning opportunities that may fit your interest area better than this particular course.

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Full Name *
Email Address *
Phone Number *
Postal Address & Location *
(City, State, Country)
What is your current profession? Please briefly explain your professional background. *
How did you first hear about this practitioner certification course in Ancient Secrets? *
What would you like to gain/learn as a result of joining this certification course? *
(be as specific as possible)
This certification course is not a common training program. Participants experience a learning environment that challenges them in three aspects (knowing, doing, and being). As well, you will be participating together in a living, learning, nurturing, achieving community. What will you contribute to the community of the course? *
e.g. What talents do you have to share? What gifts/attributes make you a good member of this learning community?
The unique knowledge you will achieve within the course may have a strong impact on your personal & professional skills. What would you like to do with the things that you learn? *
(e.g. What would you like to do with your life with the things you learn? Who would you like to help? What ultimately would you like to do with your life? etc..)
The course’s tuition/fee for the 1000-Days certification course is $15,000 ($5,000 USD/year). Will you be able to create the money in order to invest this amount in your future? (Please select which option fits your situation best) *
Anything else you would like us to know?
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