CM Training Program Application

Training Cost is $995 per Module
A non-refundable registration fee of $25 is required when submitting your application. Upon acceptance, this $25 will go toward your first module payment.

Upon acceptance, a $500 deposit is required to guarantee your spot of which $200 is non-refundable and non-transferrable. This will also go toward your first module payment. A week before Module 1, the remaining $495 is due.

Application Process:

Fill out the application

After receiving your application, we will schedule an interview with our Executive Director, Donnalea Goelz so you can talk about your future with Continuum Movement.

Name*

First NameLast Name

E-mail*

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Birthday*

MonthDayYear

Occupation*

How Long?*

Are you a health-care professional?*

List all health-care/helping experience:*

List credentials: (Teacher, Massage Therapist, Rolfer, Social Worker, Physical Therapist, etc.)*

Continuum Experience*

List Continuum classes, workshops, hours, and teachers

List any spiritual/therapeutic groups in which you are involved in and your training/studies that you have in the growth, healing ore healthcare field:*

Please write a few paragraphs explaining your interest in taking this program and list any health challenges you may have*

INTERVIEW

After receiving your application information, the office will email you to set up an interview with Donnalea Van Vleet Goelz Ph.D., Executive Director of Continuum Movement.

REGISTRATION

Upon acceptance of your application $500 is required to register
($200 of the $500 is non-refundable, non-transferable).
The balance will be due 30 days prior to the event. Payment can be made via MasterCard, Visa, American Express. Balance of payments will be automatically processed 30 days prior to the start date of any workshop.

CANCELLATION

All registration fees are non-refundable and non-transferable. Additional payments will be refunded if cancellation is received via email or post 30 days before the start date of the event. Payments are non-refundable within 30 days of the start date of the event.

By processing this payment I acknowledge that I am healthy and am in good standing to participate in this workshop.

If my health changes I will contact the office.

My Products

CMTP Application Fee$25.00

Total $0.00

Credit Card

Continuum Movement Training Program Application

Application

Credit Card