CM Training Program Application

Continuum Movement Training Program Application

This will be the introductory module for the teacher development program of Continuum Movement.
Training Cost is $995 per Module
A non-refundable registration fee of $75 is required when submitting your application and you will be emailed a link to make payment

Upon acceptance a $500 deposit is required to guarantee your spot of which $200 is non-refundable and non-transferrable
Application Process:

Fill out the application

Include within the application:

A letter of recommendation from the teacher you studied with and a letter confirming your Continuum hours

Looking forward to an exciting program,
Donnalea Van Vleet Goelz, PhD
Application
Name *

First Name Last Name
E-mail *
Phone Number *

- Area Code Phone Number

Address *

Birthday *

Month Day Year
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 and hours
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 *
Letter of Recommendation *
Confirmation of Continuum Movement hours *
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.

My Products

CMTP Application Fee $ 75.00

Total $ 0.00

Continuum Movement Training Program Application