ISTA SSSEx LEVEL 1- Application Form Brazil 2020
The transformational value of this course starts here and we invite you to take your time filling in this form. These questions are an invitation for deeper self-inquiry as much for you as for us. The information submitted will only be shared with the 3 ISTA faculty and the organizer. You are invited to share as much as you are comfortable to. The last page is a list of the agreements we use to create a strong and safe container for our journey. It is important you read these carefully.
Email address *
Full Name as in your Passport: *
Your answer
Name you would like to be called: *
Your answer
Date of Birth: *
MM
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DD
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YYYY
Phone number / Whatsapp: *
Your answer
Facebook and/or Instagram / Website: *
Your answer
Nationality: *
Your answer
Actual living place: *
Your answer
Gender Identity - optional
Your answer
The training will be given in English. We offer some support with translation if needed. Please let us know if you need any kind of translation: *
Required
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