application

APPLICATION FOR THE WIND SPIRIT INITIATION COURSE

Your Name
Your Email Address
Mailing Address
Date of Birth
Gender
Education (high school, college, other programs, etc.)
Degrees/Certificates
Work Experience (please indicate amount of time at each job)
Special Skills/Talents
Hobbies
What has been your experience with psychedelics? Be specific
List the most influential books you have read
List your favorite musicians
Do you play an instrument? If so, tell us about it.
Tell us your feelings about singing
Describe your religious/spiritual views
Do you currently practice a discipline of some form?
What drugs have you taken and what do you currently use?
Do you take any prescribed medication?
List any illnesses, afflictions, conditions, allergies, etc.
Why do you want to do this program?
What is your dream for your future?
Tell us about a profound spiritual experience you’ve had
Tell us about your experience with hiking/camping
Describe your physical fitness
Describe how well you can swim
Do you have any dietary restrictions?
What will be your greatest obstacle during this course?
What do you feel you will contribute to the course?
Describe what it is you fear the most.
What do you hope to acieve by taking this course?
What else should we know about you?
How did you find us?


How to create a contact form How to create a contact form in a few steps.

The Deadline for Application Submissions is April 15th for the Spring 2008 Course.