Application Form

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Application Form

The Basic Training is scheduled for Summer 2024 and Advanced Training for Fall 2024 will follow along with supervision sessions for six weeks. Please indicate your interest and availability below. The Certification path requires the Basic Training plus six weeks of one hour per week practicum. The Basic Training is an option for those wishing to learn the technique and use it for personal use, friends, family and service. Please complete the application to confirm your spot and arrange payment. The earlier you complete the registration the better discount you receive!

Questions: Email cristineprice@gmail.com or text 435-764-6118

Name *

Email *

Phone number *

Profession/Current Certifications

Address to ship training manual and other materials

Which session are you available for Basic training?

Summer 2024

Fall 2024

Other:

Which populations are you most interested in working with at what levels?

1 - Not interested

2 - Neutral

3 - Interested

4 - Passionate

Teens

Young Adults

Substance Abuse

Sexuality/Addictions

Women

Men

Couples

Families

Clear selection

Which of these Conscious CommUnity College trainings and certifications are you interested in learning more about?

The Love Solve Method for emotional breakthrough tools (Love Solve facilitator)

Quantum Wholeness Meditation Training and/or Mastermind groups (group leader)

Frequency Formulas - quantum medicine training (wholesaler w/ facilitator status)

Liberation Training - emotional breakthrough and frequency shift facilitator

Nutritional medicine, neurochemistry, hormone balance, and homeopathy (add on to other certifications)

Business training to support ease and efficiency of marketing and attracting clients

Other:

The EFT Certification Training is regularly $1499.

2024 rate is discounted to $877. Additional discounts available. Please mark all that apply.

I plan to use ZPM with non-paying clientele as a service. I don't see paying clients. Half-price rate applies. (Would not be formally supervised or certified)

I'd like to add this training to Liberation Training or a Frequency Formula package (pkg discount)

I'd need a payment arrangement over 30-60 days

I'm a premium member of AMillionAtOne.com - Additional discount applies

Please consider me for a scholarship or work study to cover partial tuition. Include the amount you are able to pay in the "other" box below.

Other:

Which days/times are you available for the six week supervision and Basic Training? This will be done in a two-hour block to provide the hours of training plus supervision each week. We may offer more than one option. Please indicate all times you are available.

Wednesdays 10am-Noon

Wednesday afternoons 2pm-4pm

Wednesday evenings 6-8pm

Other:

Based on the training dates matching up and pricing being feasible, how likely are you to commit to the full training? (this allows me to weigh your input accordingly)

Just somewhat interested

Very committed - I can't wait!

Clear selection

How did you hear about the training and/or college? Please add details under "other" so we can thank them. *

From a health practitioner or influencer (include name in other below)

CPSS Certification - Brian Neilson

From CristinePrice.com or Cristine Hull directly

Through the ARISE Summit

Through social media, ie facebook

Other:

Required

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