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Helix Healing Ministry Referrals

  THE COURSE

APPLICATION*

Your application is confidential and will be reviewed only by the Helix faculty.

On a separate paper TYPE your response to each of the following:

  1. Name, address, day and evening telephone numbers.
  2. Date and place of birth.
  3. Professional and work-related history.
  4. Describe your educational history. Include names of schools, dates of graduation, degrees received, major and minor areas of study, and professional training.
    (Your acceptance to Helix is not dependent upon your education.)
  5. Describe your relationship to responsibility, agreement, and commitment.
  6. Have you ever had a physical, emotional, or spiritual healing or transformation? Describe.
  7. Do you have a spiritual practice or a meditation practice? Describe.
  8. How do you handle crisis in your life?
  9. Describe your relationship to self-care (e.g., health, work, pleasure, and money).
  10. Where did you hear about Helix?

Please follow the instructions below when submitting your responses.
     (You may want to print this section so you can fill it out and send it in.)

  
Enclose check or money order for $50 non-refundable application fee. (Make check payable to Helix Community Service.)
   or
  
Complete your Visa or MasterCard information: card name and number, expiration date, and signature.
Name  
Address  
Phone  
Fax  
       
Visa or MasterCard No.  
     
Expiration Date  
     
       
Signature  

Send your typed application and payment to:
  The Helix Training Program
   c/o Donna Frankel
   117 West 17th Street
   New York, NY 10011

*You can download the application as a Microsoft Word document (40K).


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