Application Form
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Name *
First and last name
Phone number *
Profession *
Position/Title
# years in current position
Degrees/Licenses/Relevant Certifications
Location of Residence
I am interested in... *
Participation in the Unique Self Coaching Training Program requires a significant commitment to your own growth and development. The following questions are designed to help us and you discern whether this program is appropriate for you at this time.  

1)  Please write a brief autobiography and describe the significant events/experiences in your life’s journey that bring you to this moment of applying for this program.   
2) What are you seeking right now that has you considering expending your time, energy, and resources to participate in the Unique Self Emergence Process? 
3) Describe your professional experience and how you imagine incorporating the Unique Self Coaching into your work at this time.  (if on auditor track, write N/A)
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4) Describe what awakening/enlightenment/spiritual realization means to you?
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5)  Describe any regular practices you are using and what purpose they serve for you (e.g. exercise, meditation, journaling, spiritual practices) *
6) What have been the significant personal/professional development approaches (educational programs, workshops, therapy, spiritual programs, coaching etc.) that you have used during the course of your life?  
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7) What is your level of knowledge of Integral Theory and Unique Self teaching?  
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None at all
Advanced
8)  Describe the support structures (family, coworkers, finances) around you right now that would make it possible for you to include this program in your life at this time. *
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