Prefer Day or Night?
(You may not
have a choice)
DAY
NIGHT
Select if you would like to take Individual Classes only
(dates are based on starting of Semester, not class)
You may signup for individual instructors classes.
Individual classes are less when you signup for the whole Certificate Program.
SH100
Sound Healing and Therapy Overview
(Includes SH Instruments)
Please enter date you would like to start:
$840 - 63 Hours
SH100B
Sound Healing Instruments
Please enter date you would like to start:
$200 - 15 Hours
SH110
Inner Awareness and Transformation through Sound
Please enter date you would like to start:
$440 - 33 Hours
SH120
Inner Music
Please enter date you would like to start:
$200 - 15 Hours
SH130
Voice, Toning, Chant and Mantra
Please enter date you would like to start:
$ 600 - 45 Hours
SH200
Sound, Consciousness
and Spirituality
Please enter date you would like to start:
$ 400 - 30 Hours
Individual Instructor's Class (Enter Name of Class or Instructor)
Email Address
First Name
Last Name
Address
City
State/Province
Country
Home Phone
Cell Phone
Work Phone
How often do you check your email?
Date of Birth
Occupation
In Case of Emergency Notify
Name
Full Address
Telephone
SECTION 2 (Full Sound Healing Programs Only)
Drivers License #
Last two Schools Attended
Name of Last School
Address
Dates of Attendance
Course of Study
Degree
Previous School Name
Address
Dates of Attendance
Course of Study
Degree
References
Name 1
Phone
Relationship
Name 2
Phone
Relationship
Name 3
Phone
Relationship
Personal Questionnaire
What would you like to get out of the classes?
What training have you had in the health field?
Are you a licensed health practitioner?
If so, what is your area of expertise?
Are you a musician or songwriter?
At what level of proficiency do you play?
Have you had any formal musical training/education? Yes
If yes, please describe
Languages fluent in
Do you have any physical limitations or disabilities that we should be aware of?
100 Word Essay on why you want to take classes at the Institute (You can write it here, or you can write it elsewhere and email or mail it to us)
SECTION 3 - ALL APPLICANTS (INDIVIDUAL OR FULL PGM)
PAYMENT OPTIONS
PAY IN FULL
PAYMENT PLAN
(Only for Full Programs)
WILL SEND A CHECK
WILL CALL WITH A CREDIT CARD
WANT TO PAY IN PERSON
NOT READY TO PAY YET, JUST SUBMITTING THE APPLICATION
Employer Name
Gross Income Per Month
Other Income Source
Other Income Amount
Checking Acct Balance
Savings Acct Balance
Delinquent on any Debts? Please Explain
Total Expenses Per Month
Anything Else we should know about your finances
SUBMITTING PAYMENT
CHARGE FOR FULL AMOUNT
DOWNPAYMENT ONLY
ENTER AMOUNT
Please enter the numbers displayed below: 12479
Payment Options:
If you would like to give your credit card over the phone, call 415 777-2486
