Online BlisSchool Facilitator Training Application Form

First Name

Last Name

Age

Date of Birth (day/month/year)

Email Address

Facebook profile link and/or Instagram profile

Do you have good internet connection, a webcam or phone camera, and a computer or laptop? Do you have good internet connection, a webcam or phone camera, and a computer or laptop? Yes No

Which one of the following best describes your reasons for doing this training? Which one of the following best describes your reasons for doing this training? I just want to go deep into my own sexual exploration I'd like to teach BlisSchool workshop part-time I’d like to start a full time career teaching BlisSchool workshops

Which payment option do you prefer? Which payment option do you prefer? 1 single payment 4x monthly payments

How did you hear about this training?

Where are you based?

Why do you want to do the online BlisSchool facilitator training?

What qualities do you have that you believe would make you a good BlisSchool facilitator?

Describe any relevant experience or training you have (healing modalities, personal development, meditation, yoga, etc)

What is your current career or lifestyle?

What excites you most about this training?

Do you have any mental health conditions? (current or past conditions)

Do you have any medical conditions? (current or past conditions)

Have you had an sexual trauma? If so, please explain when it happened and what work you have done around it.

Are there any questions you have for me about the program?

Is there anything else that you would like me to know?