Please send me information on the following:

Three-year Program____ Certification____

__________________________________________
Name
__________________________________________
Street Address
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City, State, Country, Zip Code
(________)_______________________________________
Phone (day)
(________)_____________________________
(evening)

Please include on a separate paper your answers to the following:

1. Educational background.

2. What stimulated your interest in Psychosynthesis?

3. What books have you read that impressed you the most?

4. Name two or three incidents in your life that have caused you to take a new direction.

5. How would you describe yourself as a person?

6. Name the most prominent qualities in yourself.