Application for Level One Training Program Name * First Name Last Name Email * Phone (###) ### #### Instagram http:// What inspired you about working with ThetaSoma? * What other training/certifications do you have? * If you are a practitioner, describe your current practice with clients? Describe your healing journey. * Have you participated in therapy? If so, how long? What styles? How did it impact you? * Is there a specific trauma or pattern that you are currently working on healing in yourself? * Describe your spiritual or religious orientation. * Were you referred by a ThetaSoma™ community member? (either in-person or through their social media) I understand that submitting this application is a not a guarantee of acceptance into the ThetaSoma Guide Training. I understand that this program costs $2,400 and I am prepared to make this financial commitment in full by the end of the program. Yes, I am here for it. Thank you for applying to the ThetaSoma Level One Guide Training. We will reach out shortly with more information.