Test Application Form

Sound Healing and Therapy Certificate Program AT THE INSTITUTE (including Summer Intensives) $2600 Starting:
Associates Degree in Sound Healing and Therapy AT THE INSTITUTE $11,600 Starting:
Sound Healing and Therapy Certificate Program ONLINE $2000 Starting:
Associates Degree in Sound Healing and Therapy ONLINE $8,000 Starting:
SUMMER INTENSIVE Sound Healing Program $1485 Starting:
Recording Arts and Technology Certificate Program AT THE INSTITUTE $3800 Starting:
Recording Arts and Technology Program (1/2 of Certificate Program) ONLINE $1485 Starting:
Recording Arts and Technology Program Certificate ONLINE $3000 Starting:
Prefer Day or Night? (You may not have a choice) DAY NIGHT DON'T KNOW DOESN'T MATTER
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
  • Zip/Postal Code
Country
Home Phone
Cell Phone
Work Phone
How often do you check your email? Every day 3 times a week Once a week Rarely
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? Yes
If so, what is your area of expertise?
Are you a musician or songwriter? Yes
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
SUBMITTING PAYMENT
CHARGE FOR FULL AMOUNT

DOWNPAYMENT ONLY
ENTER AMOUNT
12479
Payment Options: Pay Later  Pay with credit card in paypal
If you would like to give your credit card over the phone, call 415 777-2486