Realization Process Advanced Post-Certification Guidance Series Fall 2023 Application Form
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Name *
Email *
Address - Street *
City, State/Province, Country *
Phone number *
Date of Birth *
Profession *
Please list when, in what format (6-month online training, 2-week in-person training, 16-day summer training), and with which teachers you have studied for your RP Embodiment, Meditation, and Healing Ground Teacher Training Certifications
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Please list any advanced RP Certification trainings you have completed with Judith Blackstone  
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In addition to the RP teacher certification trainings, have you studied with other RP teachers?
If so please tell us with whom, and the nature of your work with them, i.e. private sessions, workshops, retreats, courses, etc.
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What drew you to this program at this time? What are your hopes or expectations for this series? Please be specific.
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How do you intend to use Realization Process? Offering private sessions, classes, workshops, or integrating the Realization Process practices with other modalities, or in some other way?
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Is there anything in your personal history that might be helpful for us to know?
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Please add anything else you feel is significant to your participation in this series
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