Apply to work with Geneva.
Filling out this form does not entitle you to receive services. It simply gives me a good picture of where you're starting, where you're heading, and what the best vehicle would be to get you there. After you have completed this form, please allow 24-48 hours for a response. I will let you know if I feel you are an energetic match, and what programs I believe will best serve you at this time.
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You give me permission to performing healing work that may touch on buried challenges or struggles which could cause emotional distress.

(Type your full name.)
What is your name? *
What is your phone number? *
What are you applying for? *
What are you looking for in working with me? *
What are your biggest strengths? *
What is the biggest struggle in your life right now? *
Have you ever experienced any type of spiritual healing before? *
What type of financial resources are you looking to invest at this time? *
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