IAST - Malidoma Some - 2013-2015
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First Name
Last Name
Street Address, City, State, & Zip
Phone Number
Alternative Phone Number
Email
Alternative Email
How did you hear about us? i.e. Baba Michael let me know or Michael Da, flyer, newsletter, google, etc....
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Birth Date
Place of Birth
What is your experience with Malidoma and/or your prior experience with Dagara Indigenous Technologies?
Please list any Dagara Community Rituals you have participated in.
In 250-500 words, please explain why you are interested in participating in the 3-year IAST program?
What are your expectations with this program?
In 200-500 words or less what are two of the most transformative experiences you have experience to date?
What support did you receive in these transformations?
Do you have any health concerns or special needs the organizers need to be aware of?
Can you committ physically to all 5 sessions?
Can you committ financially to all 5 sessions?
Can you committ spiritually and emotionally to all 5 sessions?
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