Soul Speech Immersion Application Form 2023

LEVEL 1 - 2023/24

Courtenay, BC, Canada. Application Form
Applicant Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
What most draws you to this program? *
Personal PracticeFamily DynamicsWorkplaceCommunity/Neighbours
What types of health and wellness practices do you currently practice or have practiced previously? (ie. meditation, yoga, somatic awareness, mindfulness practice) How has this practice impacted your life?*
What experience do you have with NVC? (ie. Studying with an NVC Trainer, read the book, watched videos, taken a course etc.)*
Are there any questions you would like answered about the program?
Nov 3-6, 2023Feb 2-5, 2024Apr 15-18, 2024
Yes, I am ready and willing to commit to a weekly learning session, in-person or online, Wednesday evenings throughout the duration of the program.
Health & Safety:

We welcome all individuals, regardless of vaccination choices.

Infection prevention and sanitization protocols will be in place.
Application Based:

This program limited to 16 spots and is intended for those individuals who have experience with NVC (and/or in other modalities that will prepare them for the program).

We will respond within 48 hours of receiving your application.

Payment, via e-transfer, will be requested upon approval of your application to secure your spot.
Sliding Scale:

This Immersion is priced in tiers to accommodate varying financial means. Please choose the tier that best reflects your financial situation, knowing that accessing quality training can be a worthwhile stretch.

Regular Rate: $2700 - Covers the costs of food, venue, materials and supports the facilitator with a sustainable income for covering basic expenses for home, family and self care in life.

Accessible Rate: $2100 - For individuals who need this rate reduction due to limited resources.

Supported Rate: $800 - (2 Spots Available) For those with no or very reduced income or unexpected life circumstances. We welcome you to request this option and also encourage you reflect on others who may be applying.
Regular Tuition ($2700)Accessible Rate ($2100)Supported Rate ($800)
Thank you for your interest.

www.angelawalkley.com - soulspeech1.0@gmail.com
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LEVEL 1 - 2023/24

Applicant Information

Thank you for your interest.