Application - Soul Ascendance Academy Certification
5-Month Multidimensional Facilitator & Activation Journey
Contact Info
Contact Info
Please include the best method of contact.
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First Name
Last Name
Email
example@example.com
Phone
example@example.com
Do you have a pull towards
Anchoring Your Divinity
Activating your Soul Gifts
Channel Stabilization and Inner Knowing
Activating your Clairs for facilitation
Accessing the Akashic Records + Soul Blueprint
Womb and sexual healing + clearing energetic imprints/ blocks
Quantum Healing
Clearing energetic blocks and restoring chakra alignment
Light Language & Frequency Transmission
Sacred Geometry & Frequency Codes
All of the above
What called you to this program? (Feel into it—what part of you is saying yes to this journey?)
Are you planning to integrate this certification professionally (as a practitioner/facilitator), or primarily for personal mastery?
Professional
Personal Mastery
Both
Have you worked with the Akashic Records before?
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Yes
No
Do you deeply desire to help others on their journey?
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Yes
No
Do you currently offer spiritual or intuitive work to others?
Yes – professionally
Yes – occasionally
Not yet, but I feel called
No – just for myself right now
What kind of transformation are you seeking to embody through this program?(For yourself, your service, or your clients)
Commitment + Alignment
This program requires inner work, presence, and energetic sobriety. Can you commit to showing up fully for yourself and the group container?
Yes, I’m all in
I want to but have some concerns (please explain below)
Not sure
If you have concerns please explain..
How much time would you be willing to put into this container per week?
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Insert NA if you don't have one.
What’s your “why”? Why now, why this, why you?
What peaks your interest the most about this container?
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Clearing blocks, accessing and activating your gifts, clairs and channel
Anchoring your Divinity in
Healing your traumas that are weighing you down subconsciously or consciously
Have the tools and understanding to transmute your triggers properly
Help others who are struggling deeply or seeking guidance and healing on their journey
Clearing sexual imprints and traumatic energy blocks from the womb area
Other
Are you seeking to add this to th work your already doing?
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Yes, I would love to know about how I can combine this work with the work I am already doing!
Yes, I want to integrate this with my coaching, energy, or healing practice.
No, I’m doing this primarily for my own ascension and embodiment.
While we ask participants to avoid recreational drugs or alcohol during the program, I understand some may be on supportive or prescribed medicines, or may occasionally enjoy a glass of wine. The goal is to maintain energetic clarity and high-frequency coherence throughout this work. If any of these apply, we’ll simply discuss it together on a short Zoom call to ensure the program fully supports your system and energetic needs.
Yes, I’m currently taking supportive or prescribed medicine(s) and am open to discussing this during our Zoom consult or via email.
No, I’m not taking any medicines and do not consume alcohol at this time.
I occasionally enjoy a glass of wine but understand the importance of energetic clarity and will honor this commitment during the container.
Yes, I do consume alcohol, or recreational medicine but I’m willing to adjust and limit my intake for the duration of this course.
Prefer to discuss privately during our consult.
If accepted, would you be open to a short alignment call before beginning the program?
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Yes, I’d like to book an alignment call (standard session rate applies)
No, I feel aligned and ready to begin.
Enter the email you’d like me to contact. Check your inbox and spam for a reply within the next few days.
Please verify that you are human
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