Practitioner Program Application Practitioner Program ONLINE APPLICATION FORM Practitioner Program ApplicationWelcome! I’m looking forward to learning about you and embarking with you on your journey through the Embodied Energy System Practitioner Program. Please complete and submit your application, and I’ll be in touch to discuss next steps with you. Personal Details Name * First Last * Last Email * Phone Number * Address * Address Line 2 City * State * ALAKARAZCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Postal Code Country * AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCôte d'IvoireCroatia (Hrvatska)CubaCyprusCzech RepublicCongo (DRC)DenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Islas Malvinas)Faroe IslandsFiji IslandsFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong Kong SARHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SARMacedonia, Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe 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 Embodied Energy System 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. Get in the energetic loop! Sign up for the EHI newsletter and get the latest class information, posts and more. LOOP ME IN!