The Healer Within 2022 Application

The Healer Within - A Spiritual Mentorship Program Ayurvedic Healing Center LLC

Thank you for your interest in the above program. You can save this as a word doc, fill it out and email it back to me at mpuri@ayurvedichealingcenter.com

Once I receive the application, I will contact you.

1. Your Name and email

2. You Phone Number

3. Use this space to share your interest in the program and what do you hope to gain from it.

4. Are you a health care practitioner? ( This includes Yoga Teachers, Massage Therapists, Reiki Masters, Nutritionist and/or other healing modalities). For How long?

5. Are you hoping to incorporate the learnings from this course in your practice?

6. Do you have a Meditation Practice? What type? For how long?

7. I am tentatively thinking to run the group classes on 1st and 3rd Tuesday of the month from 3-5pm EST. The Q and A on the 4th Tuesday at the same time. Individuals can be scheduled according to your schedule. Does this time work for you?

Does this time work for you?

8. If above time does not work for you, please provide your 2 best day/times that will work. Example: Mondays 7pm