Advanced Consciousness Studies (formally Prac1) Interest Survey

Please complete this form and click submit. Your completed survey should be received on or before September 20, 2024.

Name

This address will receive a confirmation email

Phone

Address

Birth Date

Foundation Classes (1 Course Required)

Check the Foundations Classes you've taken in the past five years.

Please select all that apply.

Foundations of Science of Mind Beyond Limits Spiritual Principles and Practices Change Your Thinking, Change Your Life None

If available, please provide:Date Class Completed and Name of Instructors

Elective (2 Courses) *not automatically turned away if you don't have 2 so please still share

Check the Class(s) that you have completed (Note: if you don't see your class on the list, complete the form and we can discuss options for you)

Please select all that apply.

Art and Science of SMT Consciousness and the Creative Process Powering your Decisions Power of Your Word Treatment and Meditation Visioning: A Way of Life None

If available, please provide:Date Class Completed and Name of Instructors

Tell Us A Little About Yourself

What inspires and motivates you to become a Licensed Spiritual Practitioner?

Using the 5 Steps of Treatment, write an Affirmative Prayer for your practitioner journey

Is there anything that you would like for us to know?

Description

Please complete this form and click submit. Your completed survey should be received on or before September 20, 2024.

Advanced Consciousness Studies (formally Prac1) Interest Survey

Description

Please Fix the Following