THE FIRE OF LOVE EXPERIENCE: Set your heart ablaze, do your great work and live a beautiful life!
Thank you for applying to join with us in the Fire of Love Experience -- starting Monday, September 17th, 2012! Please respond freely to the questions below and have fun with this (there are no right or wrong answers!). Your responses will help us create the best experience for everyone involved, and everything you share is confidential.

Deadline for applications is Sunday, Sept 16th at 2PM Pacific.

Enjoy! :)


Your First and Last Name *
Your answer
Email *
Please be sure to write carefully! Your email will not be shared and your info is always held confidentially.
Your answer
Phone Number and Area Code *
Your answer
Personal Website
Not a requirement! Please list the URL if you have one. If not, would you consider having one in the future?
Your answer
1. List 3 adjectives that describe you at your best + 3 adjectives that describe you at your worst.
Your answer
2. If you could do any creative work or project right now, what would you be doing?
If you're not sure entirely sure that's OK -- we will help you find and hone your vision.
Your answer
3. What is your life's great work?
In other words, why were you put on the planet -- or -- what makes you come alive more than anything?
Your answer
4. What could you really use some help with right now?
How may we support you in your life and work?
Your answer
5. What do you hope to take away from your participation in the Fire of Love Community Experience?
Your answer
6. Are you comfortable sharing your challenges and your truth with a safe group of like-minded people, and do you agree to keep everything shared 100% confidential? *
Your answer
7. Are you interested in joining as a Pioneer Founding Member or in the Pioneer Founder's Circle? *
8. This is a 'pay what you can and feel' program, with rates suggested above. What do you plan to pay for your entrance and monthly membership? *
What you choose to pay is up to you. This will be used to generate a custom registration link for you and is not used to assess your application.
Your answer
9. Do you agree to the terms of the following Liability Disclaimer? *
You must not rely on the information you receive from Satya Colombo, his staff, or any other members of the group, as an alternative to medical advice from your doctor or other professional healthcare provider. If you have any specific questions about any medical matter you should consult your doctor or other professional healthcare provider. If you think you may be suffering from any medical condition you should seek immediate medical attention. You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information you receive from Satya Colombo, his staff, or any other members of this group.
10. Any other questions, thoughts or fun facts you'd like to share with me? It's all welcome!
Your answer
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