BTMI Application – Bridge to Mastery

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Name*
Your First Name Your Last Name
Business Name*
Email*
Address
Street Address City State / Province / Region ZIP / Postal Code
Business Phone Number
Mobile Phone Number
Home Phone Number
Profession
Initials (such as O.M.D.)
Specialty of Focus of Work
# Years in Prof.

Section 1
In your own words tell why you want to be part of Bridge to Mastery.
Briefly describe your areas of top professional skills or accomplishments to date
What does mastery mean to you?
Briefly describe your vision or goals for your life over the next 2 – 5 years
What, if anything has been holding you back from realizing your vision?
What support or resources would you love to receive to help empower you in realizing your vision or goals?
The primary purpose of Bridge to Mastery is to empower professionals to elevate their quantum healing abilities and results while expanding their income. Four training modules are offered, each containing a series of courses.

To gain the full benefits of any of the modules requires some investment of time, focus and willingness to move out of your previous “comfort zone” in that area. Please rate your motivation to make those investments for each of the four modules. 1 is very low motivation, 5 is very high motivation.
Module 1: Awakening consciousness and ability to heal with universal (Quantum) energy:*
1 is Lowest and 5 is Highest
Module 2: Learning cutting-edge clinical techniques of vibrational medicine:*
1 is Lowest and 5 is Highest
Module 3: Personal healing and transformation:*
1 is Lowest and 5 is Highest
Module 4: Mastering money and client attraction:*
1 is Lowest and 5 is Highest
Bridge to Mastery is designed for busy professionals. Estimate how many hours per week you are willing to devote to your coursework through this program, on the average. This includes watching video lessons, filling out worksheets, participating in conference calls and other study. For this estimate do not include time spent on meditation and other personal practices unless it is part of a lesson.*
Live residential retreats are an important part of the BTM program. Are you willing to travel to California to attend one or more retreats for this term?*
What is your current commitment to meditation or other consciousness practices (if any)?
If you have any questions, doubts or concerns about being part of this program, please share them in detail here.
If you have any suggestions or special requests describe them here.
Thank you for filling out this application! Now that you have filled out the application, Click Here to open Darren Starwynn's calendar and set up complimentary phone interview. This is a required part of the application process.
Name
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Section 1

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