Healer's Code Academy Application
Apply to join the Healer's Code Academy. Please provide your information and answer all questions thoughtfully.
Full Name
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First Name
Last Name
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
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Month
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Day
Year
Date
What is your background or experience in healing, wellness, or related fields?
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Stewardship & Readiness
This school is a serious professional commitment, not a hobby. If you’re invited into this cohort, what specific commitments are you willing to make to yourself, the people you serve, and this work over the next year?
On a scale of 1–10, how ready are you to devote the next year to deep practice, embodiment, and service with this work?
1
2
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10
What qualities in you make you a fit to carry this work as a representative of the Academy?
Your Edge & Initiation
What is the tender edge you are meeting in yourself right now around being seen as a powerful healer / coach / leader?
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Where do you feel fragmented or “half in” with your calling? Patterns you are ready to transmute, not manage.
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If you did nothing different over the next year, what do you most fear would still be true in your service or in your own inner world?
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Call to the Work
In your own words, what first called you to healing, transformation, leadership, or pure life enrichment? What was the moment you knew “this is my path,” even if you didn’t know how?
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Approximate number of souls you hold space for each month (clients, groups, community)
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Primary way you serve now (sessions, circles, teaching, etc.)
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Our school holds an ancient, alchemical body of work. Why this lineage, and why now, rather than “one more course” or modality?
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Current Path (circle): Healer / Coach / Guide / Leader / Other
Healer
Coach
Guide
Leader
Other
Please upload any relevant certificates or supporting documents (optional)
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Vision of Yourself as a Graduate
Imagine yourself one year from now, standing as a graduate of this Mystery School. Describe, in detail: How people speak about your presence and your work:
How your medicine feels in your own body (clarity, power, softness, etc.):
How your work is rippling into community or collective healing:
Our Academy gives you a complete, proven system and living curriculum. How would having a single, coherent body of work (Divine Advantage, Micro Breakthrough, Healer’s Code, + turnkey programs) change the way you show up to sessions, circles, and leadership?
Choosing Your Circle
Based on what you discovered about your Healer’s Code today, which circle feels most true for your next rite of passage, and why?
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Mastermind Circle (12 seats) - $12,000 - For seasoned practitioners and leaders ready for intimate mentorship, deep council, and being held to the highest standard.
Online Live Circle (up to 60) - $7500 - For committed practitioners who desire live guidance, community practice, and real time correction in cohort.
DIY Academy Path - $1997 - For devoted self led students ready to walk the path with the full curriculum at their own pace.
Currently Undecided which Circle, but I'm interested and committed.
Why this path now?
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If you are invited into your selected circle, are you prepared to step through the doorway at the given investment, so you can begin Orientation on May 13th?
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Yes, if we both feel it is aligned
Not at this time
Is there anyone whose support or blessing you feel you need before stepping in? If yes, who, and when can you speak with them before the portal closes on May 13?
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Do you have any further questions we can answer in order to help you make this decision? If so, are you willing to book a 15-minute Zoom call within the next week with the team:
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Yes, I would like to have a call.
No more questions -- sign me up!
If approved, how would you like to to proceed with reserving your space:
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Pay in Full - via Credit Card
Pay in Full - via Invoice
Payment Plan - One down payment with 12-monthly payments (Info below)
Payment Plan Information
Mastermind : $1000 down and $922/month for 12 months | Online: $500 down and $375/month for 12 months | DIY: $175 down and $155/month for 12 months
I consent to receive texts/calls regarding my application and this cohort
Yes
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