Witchcraft I Application - Online
Online with HP Christopher Penczak, starting March 2018.

Witchcraft I is the first in a five-degree system of training for the modern witch in the Temple of Witchcraft tradition. Acceptance into the program automatically grants Honored Membership into the organization of The Temple of Witchcraft. Assuming there is sufficient enrollment, the future levels, two through five, will be offered for this class group in each subsequent year. Graduation at level five can result in ordination through the Temple of Witchcraft religious organization, but ordination is a separate process and is not guaranteed.

Contact Information
Please complete all questions.
First Name *
Your answer
Last Name *
Your answer
Magickal/Craft Name (if any)
Your answer
Street Address *
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City *
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State/Province
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Mailing Code *
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Country *
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Email *
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Phone Number *
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Astrological Information
Please provide the date, time, and location of your birth
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Emergency Contact *
Whom should we contact in the event of emergency? Please provide name, relationship, phone number, and email (if available). Also, is this person aware you are studying Witchcraft?
Your answer
History
Please take as much space as needed to answer these questions.
1. Do you have any prior experience in Witchcraft, Paganism, Magick or other Metaphysics? If so, briefly state. *
Your answer
2. What book has influenced your practice and knowledge of witchcraft the most and why? *
Your answer
3. What do you feel is your greatest asset in the study and practice of witchcraft? *
Your answer
4. What do you feel will be your greatest challenge over the course? *
Your answer
5. Do you suffer from any medical issues that you feel might impair your studies? *
Your answer
6. Do you currently or in the past have any diagnosed mental health, psychological, or neurological issues? Do any currently require medication or have you required medication in the past? Have you ever spent time in a mental health facility? *
If "yes" to any of these questions, please state the nature of the issue. All magickal teachers should be aware of the mental health of their students to best be able to help them on the path. While such issues are not necessarily prohibitive to study, full disclosure of such issues is necessary for your continued safety and well-being while in the program. Failure to disclose such concerns can result in termination from the program.
Your answer
7. Have you ever experienced or suffered from issues of addiction, including but not limited to alcohol or drug addiction? If so have you received treatment for your addiction and what is your current status of treatment? *
Your answer
8. Are you prepared to make a commitment to this course and training for the year? *
The study of witchcraft can bring up personal issues and seemingly unrelated life circumstances that are challenging. These issues are to be worked through during the course, not avoided. The teacher and fellow students are making a commitment with you for a year, and you, in turn, must take that commitment seriously and work to the best of your ability. Exceptions and accommodations can be made for those in serious need, but you should be confident in your ability to complete the year. Please inquire with the instructor if in doubt.
Your answer
9. Have you experienced any significant life-changes in the year prior to this application? *
If yes, please describe the nature of this experience and if you feel it will affect your class performance.
Your answer
10. Do you have any questions about the course or this application?
Your answer
Availability of Training
This training is open to people of all races, sexual orientations, gender identity, ethnicity or background. We do reserve the right to refuse admittance to those who do not possess the necessary stability or health to safely complete the program and we reserve the right to refuse graduation certification to any and all that do not fulfill the course requirements to the best of their abilities. The course requires a level of self-responsibility, discipline and introspection to successfully complete.

This training is not a substitute for medical care or psychological counseling. Students are wholly responsible for their own physical and emotional well-being and care. Students are also wholly responsible for their emotional or other reactions to meditation, ritual or shamanic journeying work. Support by peers and teacher is provided, but if you require outside support and facilitation via a counselor or therapist, make sure such support is in place BEFORE starting the course.
Confidentiality Agreement *
All private materials related to this course (i.e. those materials not available or for sale to the general public) are under consideration for future publication or release, and thereby must be kept private, used only by students currently enrolled in class. By enrolling in this class, I acknowledge that I may have access to confidential information relating to the traditions, books, products and business activities of Christopher Penczak. I understand that disclosure of this information to third parties would cause substantial detriment to Christopher Penczak’s ongoing business. I agree that I will not, during my apprenticeship engagement in this apprenticeship or at any time thereafter, disclose to any third party any confidential material, including writings, files, artwork, designs, formulas and audio material. I will likewise keep material shared by other students in the apprenticeship, personal or professional, confidential unless otherwise given permission to disclose such information by said party. Apprentice groups should be confidential places where people feel comfortable sharing information and experience.
Required
Payment
Total course fee: $360. I agree to respect the bounds of the payment plan outline for the course and honor my educational, spiritual and financial commitments. Payment is nonrefundable and expected in full even if you decide to remove yourself from the course through withdrawal. If your application is not accepted for the program, all deposits will be returned promptly with your notice. Although highly unlikely, the instructor reserves the right to terminate any apprenticeship due to misconduct, disrespect or other great incompatibility and a pro-rated portion of the funds will be returned if payment is made in advance at the instructor’s discretion.

By signing this form and registering for this class, you certify that you are of legal age and agree all the information above is accurate to the best of your ability, you agree to abide by the Non-Disclosure Confidentiality Agreement and to participate in the format and structure of the class, completing all assignments and class work to the best of your ability. Electronically submitting this form with your name on it will be considered the equivalent, legally and morally, as a signature.

Your application deposit of $100 should be sent at the same time as your application. PayPal links for deposit or to pay in full are included with the confirmation message for this form. If paying by PayPal, please be sure to note the name of the class, your legal name and "W1 2018 Online". Send PayPal payments to info@templeofwitchcraft.org.

If you are mailing a check or money order, please send to:

Temple of Witchcraft
Attn: Mystery School Financial Dept.
49 North Policy St.
Salem, NH 03079

Please indicate your legal name and "W1 2018 Online" on the check.

Legal Name *
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Date Submitted *
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Signature *
I understand that submission of the above information constitutes a digital signature and is legally binding
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