Copernican Institute Application
Please use this form to describe why you should be considered for participation in the Copernican Institute of Mineral Metabolism & Mentorship. A limited number of people will be selected to attend. Attendees will be notified by June 5th, 2017. Classes begins June 22nd, 2017.
Name
Your answer
Email
Your answer
Phone Number
Your answer
Skype ID
Your answer
Facebook User ID
Your answer
City, State, Country
Your answer
Why do you want to attend this training?
Please explain in a few paragraphs why you are interested in attending.
Your answer
Do you have any existing qualifications / certifications that might be relevant?
Existing qualifications/certifications are not a requirement for selection, just nice to know.
Your answer
What are you most interested in learning?
Please list 5-7 topics
Your answer
Are you currently following the steps of The Root Cause Protocol?
You are aware that the cost of this course is $1,750
The first payment of $875, (50% down) will be due at the time of acceptance into the program. The second payment of $875 will be due by June 20, 2017, before the start of sessions.
Thank you!
Thank you for your interest. Each application will be considered for acceptance. But please understand, I'm limiting the class size. If you are accepted, you will be notified by June 5, 2017 and our journey will begin the week of June 22th, 2017.

A votre sante!
Morley Robbins

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