Application for the Rubenfeld Synergy Certification Training Program
Your information is confidential and will only be shared on a need-to-know basis with other faculty.
Phone (best number to reach you):
Other Phone Number:
How did you discover Rubenfeld Synergy?
What attracts you to Rubenfeld Synergy?
Briefly describe your current job/profession:
If you are looking to change professions, briefly explain what you're looking for and how Rubenfeld Synergy fits into your vision.
If you are currently a holistic practitioner and/or bodyworker, or in a related field, why do you want to certify in Rubenfeld Synergy?
Please list trainings you have received in bodywork, psychology, or other holistic practices:
On a scale of 1 (not at all committed) to 10 (very committed), how committed are to successfully completing the training program and becoming a Rubenfeld Synergist?
Let's just hope it happens.
I'll do whatever it takes!
What skills, assets, and/or resources do you possess that will help you successfully train in Rubenfeld Synergy?
What challenges and/or obstacles have you experienced in the past when learning something new?
What did you do to resolve or handle those challenges or obstacles?
What support will you most need during the training program?
What support will you need after you've certified?
Keeping in mind that your answers are confidential, briefly describe your mental and physical health history.
Is there anything else you want us to know about you?
Send me a copy of my responses.
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