Application: Clinical Meditation - Huntington Meditation & Imagery Center

Date
First Name*
Last Name*
Address*
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How did you learn about this program?
Professional degree*
Do you have a current license or certification?*
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Current place of employment
Please give us a brief description of the types of people you work with?*
What has interested you in attending this program?*
What are you hoping for in attending?*
Please tell us what your experience has been with imagery and meditation. What is your personal interest and your professional interest?*
Tuition for the course is $1,795 and can be paid via PayPal, by mail with a check, or in three installments on a payment plan. Select your preferred payment method below, and we'll follow up with you within 1-2 business days to arrange payment.*
- PayPal
- Check
- Payment Plan
We will contact you via email using the address you've provided.
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