First Name *

Last Name *

Email *

Phone *

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How did you hear about this training? *

Please give a brief summary of your personal development experience. *

What cultivation and embodiment practices do you utilize? *

Do you have a regular spiritual or meditation practice? *

Please outline your general history and experince with sacrament / ceremony / plant medicines specifically noting which you have worked with and for how long. *

Are you currently working as a practitioner in some capacity? *

If so, please describe the nature of your work. *

Have you worked wtih Amber personally or in group settings? If so, please remind us when. *

What is your personal motivation for participating in this practitioner training course? *

Please list any previous facilitator or practitioner trainings you've done. *

Please describe share about some of your profound experiences in ceremony, whether personal or group. *

Do you have any medical conditions (physical, emotional or mental) that may impeded your capacity to participate in this course? *

Are you taking any prescriptions? *

Are you taking any supplements? If so, please list here. *

Are you currently working with any healers, therapists, coaches or modalities? If so, please describe *

Have you done any personal shadow work? if so, what have you discovered? *

What gifts dow you bring which will enrich this field of training? *

What areas or aspects of yourself would you most like support in devleoping or further refining? *

This program offers four in-person events. Can you travel to Southern California? *

Describe the most beautiful and fulfilling outcome you can envision emerging from your time in this training. *

Is there anything else you would like us to know? *

We're honored to recieve your application. We'll reach out via text or email if we find you're an ideal fit for an interview for the program.