Embracing the Beloved Application - Passionate Awakenings

Embracing the Beloved training application

Thank you for applying to the Embracing the Beloved training.

Once I have received your application I will contact you to schedule a time to meet on Zoom.

First Name

Last Name

Mobile Phone

City

State/Province

Tell me a little about your life and work:

Briefly describe your personal growth/spiritual path experience:

What are the most serious challenges/issues you currently face?

Please describe any major trauma or violations and your current experience with this:

What are your hopes/desires/expectations for this training?

Are you currently in a relationship?

Tell me a little about your relationship history:

Any special dietary needs?

Any questions/anything else you'd like me to know?

My degree of interest is:

Are you able to travel to Northern CA for the retreats?

My emotional self-responsibility is: (honest)

Capacity for commitment

My financial reality is:

Help create this training to serve YOUR needs:

How you expect to use this training:

I practice: (Multiple Select)

Consistent Spiritual Practice

Tantra Student

Counseling Professional

Other Helping Professional

Workshop Leader/Teacher

What aspects of the training are you most excited about? (Multi Select)

What are your favorite learning modalities? (Multi Select)

Do you know your Enneagram type?

How did you hear about David Imiri?

If you know you are enrolling in this training, you may reserve your spot with a deposit or full payment now. Deposits and payments are refundable until you are formally accepted into the training, non-refundable thereafter.

Embracing the Beloved Payment Options

$ Donation Amount:

Choose Your Donation Amount:

Select Payment Method

PayPal or Debit/Credit Card (preferred)
Mail us a check

Personal Info

First Name *

Last Name

Email Address *

Comment

Donation Total: $500.00