Advanced EH Protocols Application Advanced Energy Healing Protocols ONLINE APPLICATION FORM Practitioner Program ApplicationWelcome! I’m looking forward to learning about you and embarking with you on your journey through the Advanced Energy Healing Protocols Practitioner Program. Please complete and submit your application, and I’ll be in touch to discuss next steps with you. If you are human, leave this field blank. Personal Details Name * First Last * Last Email * Phone Number * Address * Address Line 2 City * State/Province * Postal Code Country * Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d'Ivoire Croatia (Hrvatska) Cuba Cyprus Czech Republic Congo (DRC) Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Islas Malvinas) Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe Your current healing practice details. Do you work full time or part time? * Full time (20-25 hrs/week) Part time If part-time, how many clients do you see weekly? How long have you had a client practice? * Modalities you offer: * Why is energy healing important to incorporate into your practice offering? * If you do not have a healing practice, what modalities are you studying or have you studied? If you do not have a healing practice, tell me about your business and work experience. What is your current commitment to self-care? Tell me what you consistently do for your health and well-being * Tell me about your spiritual practice. What do you consistently do to honor and acknowledge your spiritual self? * Why are you interested in the Embodied Energy System Practitioner Program? * Next Steps:I will review your application and email you to schedule an interview.If you do not have a client practice or relevant business experience, it is possible that you will be notified that you are not a viable candidate for the rigor and expectations of the Advanced Energy Healing Protocols Practitioner Program. Most of the practitioners in the program have significant practice experience, or are seasoned business professionals ready to make a shift in their career.If this is the case, it is not a reflection on you and your value or worth; it recognizes the demands of creating and managing a thriving practice and the needs, interests and experience level of the practitioners in the program.