Ecstatic Mysticism 3-Year Program Application

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Please select - out of the three options below - which Ecstatic Mysticism experience you are applying for.

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What is your full name? * This field is required.As per your passport.

First Name

Last Name

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What is your email?* This field is required.

example@example.com

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What is your phone number?* This field is required.

Area Code

Phone Number

5

What is your date of birth?* This field is required.

6

What is your nationality?* This field is required.

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What is your city and country of residence?* This field is required.

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What is your passport number?* This field is required.This is required for AWE accounting purposes only.

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If you are applying for the three or two year option in EM, please note that is a rigorous and demanding initiation experience that requires a strong willingness to participate as fully as possible in both the online and in-person elements. This requires, but is not limited to: attending at least 7 out of the 9 online workshop classes connected to your chosen pathways; completing individual and group homework assignments in between online classes; working on and creatively delivering a presentation at the end of each in-person intensive; committing to actively engaging in 4 or 6 in-person intensives with an attitude of curiosity to different cultures and an openness to personal transformation. Are you ready and willing to commit to regular participation in this journey?* This field is required.

YESNO

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For all EM Program options, we are looking for people who have at least 3 years of personal experience with either expanded states, psychedelic & plant-medicine work, or deep self-exploration through a variety of modalities and pathways. Do you have this kind of experience with personal healing work? If your honest answer is no, please do not continue with this application.* This field is required.

YESNO

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We would like to accept students across a diverse range of personal and professional backgrounds who convey a strong calling to discover and deepen their gifts in service to their communities. It is important that students who apply for this program show an interest in making a positive impact for the world. Are you in a place in your life where you are focused on what you can contribute and offer as a gift to your community?* This field is required.

YESNO

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The style of teaching and learning in this training is a hybrid model. This program may be a suitable fit for those who are inspired by both the shamanic nature of learning which is delivered through transmission in the in-person intensives, in addition to the contemporary, academic component pertaining to the online modules and workshops. Are you interested in both kinds of learning?* This field is required.

YESNO

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This program is a not-for-profit project which supports indigenous communities and families in Mexico, Ecuador, Colombia, Brazil, and Gabon from the funds that are received from students in this program. Due to this, we strictly do not offer scholarships. Please familiarize yourself with the costs for the program option you are applying for. Do you currently have the means to be able to comfortably commit to the financial aspect of this program?* This field is required.

YESNO

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In some of the retreats throughout the training, psychedelic medicines will be offered. Not always will the recipes be explicitly disclosed to you; however, you will always have the choice as to whether you would like to work with the medicine or not. Do you fully accept this aspect of the program?* This field is required.

YESNO

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How did you find out about Ecstatic Mysticism? If you were referred, can you include by who?* This field is required.

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Please upload your most recent and relevant Resume/CV.* This field is required.Please ensure that your CV is no more than two pages.

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Please upload your 2-page application letter with the following:* This field is required.1) Tell us about yourself and why you think you would be a suitable applicant for the program. What can you bring to the program? 2) Describe some of your personal and profound experiences with therapies, psychedelics and plant-medicines, service-work, meditation and expanded states of consciousness, or time spent in the natural world; and additionally, tell us about how these experiences have transformed you. 3) Outline some of your future goals, intentions, or dreams beyond the program and what you hope to do with this training.

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Please include a recent and clear photo of yourself.* This field is required.

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