APPLICATION FOR ENROLLMENT | SOUND HEALING CENTER

Application for Enrollment

CLICK HERE IF YOU WOULD RATHER DOWNLOAD THE APPLICATION AND MAIL IT TO:

Globe Institute of Recording and Production 110 Caledonia St. Ste A Sausalito, CA 94965

If applying for the Full Sound Healing and Therapy Certificate Program, you will need to send your transcripts, diploma or degree from any College you went to, or a high school diploma (or GED). It is not necessary that the transcripts are official. You can email them to us or send to the above address.

YOUR 100 – 200 WORD ESSAY IS REQUIRED. DON’T FORGET TO FILL IT OUT, OR SEND BY EMAIL

Where did you hear about us?

Personal Information

Personal Information*

Email Address*

Email confirmation*

Date of Birth*

day

month

year

Occupation

Drivers License #

Address*

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

Home Phone

Work Phone

Cell Phone*

In Case of Emergency Notify:*

Text

Phone

Select Starting Dates

Prefer Day or Night? (You may not have a choice)

Day

Night

Don't Know

Doesn't Matter

Sound Healing and Therapy Certificate Program AT THE INSTITUTE*

Sound Healing and Therapy Certificate Program ONLINE*

Advanced Sound Therapy Certificate Program ONLINE *

Recording Arts and Technology Program (1/2 of Program - No Certificate) ONLINE*

Recording Arts and Technology Program (1/2 of Program - No Certificate) ONLINE(1)*

Recording Arts and Technology Program Certificate ONLINE*

SUMMER INTENSIVE Sound Healing and Therapy Certificate

Associates Degree in Sound Healing and Therapy AT THE INSTITUTE

Associates Degree in Sound Healing and Therapy ONLINE

Education Information

(Only needed for full Sound Healing Programs. Not needed for individual classes)

School 1

School 2

Name of School

Name of School 2

School 1 - Course of Study

School 2 - Course of Study

School 1 - Degree

School 2- Degree

School 1 - Dates Attended

School 2 - Dates Attended

School 1 - Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

School 2 - Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

References

(Only needed for full Sound Healing Programs. Not needed for individual classes)

Reference 1

Reference 2

Reference 3

Reference 1 - Name

Reference 2 - Names

Reference 3 - Name

Reference 1 - Relationship

Reference 2 - Relationship

Reference 3 - Relationship

Reference 1 - Email

Reference 2 - Email

Reference 3 - Email

Reference 1 - PHone

Reference 2 - Phone

Reference 3 - Phone

Personal Questionnaire

(Only needed for full Sound Healing Programs. Not needed for individual classes)

What would you like to get out of the classes?*

Are you a musician or songwriter?

What training have you had in the health field?

At what level of proficiency do you play?

Are you a licensed health practitioner?

Have you had any formal musical training/education?

If so, what is your area of expertise?

If yes, please describe

Do you have any physical limitations or disabilities that we should be aware of?

Languages fluent in

100 Word Essay on why you want to take classes at the Institute (You can write it here, or you can write it elsewhere and email or mail it to us)

Total

Word Verification