Apply for the Deep Imagery Training Application Form 2019 Use this form to apply for a place in the 2019 training. Dates: First Friday or Saturday of each month, depending on group needs. Beginning date: Fall 2019. Tuition: $1500 per year. Step 1 of 4 25% Contact InformationName* First Last Email* Enter Email Confirm Email PhoneWebsite ExperienceIf you haven't the required experience, mention that and we will be in touch. We will either schedule a time to work with you or recommend an imagery guide with whom you can work, whichever option suits you best. Please list your experience with Deep Imagery and/or the Personal Totem Pole Process.*To be accepted into the program, you need to have attended a deep imagery workshop or have been guided to meet most or all of your inner guides (chakra animals) or have other relevant experience. Save and Continue Later Letter of Application*Your letter of application you can include your motivation for participating in the Core Curriculum Training in the Personal Totem Pole Process. You may also include your personal history, family details; your dreams and visions and any unresolved experiences you might like to explore more deeply. Information you give is private and only for the trainer. Save and Continue Later RefereesPlease list the names and email addresses of two referees. Professional or "Imagery" Referee A referee who knows you personally and will give a statement or talk about your desire to train in this program. Name First Last Email Personal Referee A person who knows you and will give a statement or talk about your character and personality. Name First Last Email Save and Continue Later AgreementsI have read the registration requirements and agree with them. By clicking "I agree" below, I register for the three-year training in the Personal Totem Pole Process® and commit to attending each unit of the training over the three year period. I agree to transfer the money for the advance payment ($300USD) promptly after having received the confirmation of my registration. I understand the registration process and commitments. I agree to abide by them.* I agree. By clicking "Yes" below, I declare myself physically and psychologically capable to participate in the training under my own personal responsibility.I declare myself physically and psychologically capable to participate in the training under my own personal responsibility.* Yes, I am physically and psychologically capable to participate in the training under my own personal responsibility. Consent to share contact information with training group* I agree to sharing my contact information with my training groupI understand that mycontact information (name/email address) will be shared with other members of my training group, in order to facilitate the training processConsent to registration as a trainee with the IIVR* I understand that I will be registered with the IIVRI understand that I will be registered with the International Institute for Visualization Research (IIVR) as a trainee but that my information will never be made public without further consent.CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.