First Name *

Last Name *

Full Legal Name *

Preferred Name (if different from above)

Phone *

Email *

Address *

City *

State *

Country *

Postal code *

Date of birth *

Gender *

Ethnicity *

Preferred Pronouns *

Phase 1 Payment Options *

I will be paying in full for Phase 1 ONLY

I will be using the IATE in-house payment plan

I would like 3rd party financing

Your Website Address

Please list your availability M-F *

Please list any major scheduling conflicts that you may have *

Are you currently in a relationship? *

How many children do you have and what are their ages? *

Are you familiar with Tantra at all? *

If so, have you studied with anyone else? *

What experience, if any, do you have with meditation? *

Do you have any experience with Tibetan Buddhism? *

Do you currently have a religious affiliation or spiritual practice? *

Authentic Tantra ®methods are rooted in the perspective of Tibetan Tantric Buddhism. Are you comfortable with this orientation? *

What inspires you to become a Certified Tantra Practitioner? *

What draws you to the Institute of Authentic Tantra Education specifically? *

IATE is an anti-racist organization. What does this mean to you? *

Are you certified/trained in any other modalities? If so, which ones? *

Are you currently enrolled in or planning to begin any other training or certification programs? If so, please describe. *

Have you reviewed the Certification syllabus on the website? (This is required before applying) *

Do you understand that you are applying for Phase 1 of our 2 year Authentic Tantra Certification Program? *

Do you understand that taking just Phase 1 of our Certification Program does not qualify, authorize or certify you as an Authentic Tantra practitioner? (This question must be answered in order to submit this application) *

Yes

What areas of your sexuality would you like to explore, awaken or heal the most? *

How do you think you will feel when these areas are awakened and healed? *

Do you feel/believe that we can support you in reaching these goals? If so, please share why *

On a scale from 1-10 how motivated are you to begin your Tantra training right now? *

Are there any issues which would prevent you from taking action right now? If so, what? *

Choose your preferred instructor below. You may choose up to 3 in order of preference.

Please select your first instructor choice *

Please select your second instructor choice

Please select your third instructor choice

Thank you so much for taking the time to answer these questions. Is there anything else you would like to share with us?

How did you hear about the Institute? *

Were you referred to us by someone? If so, please tell us who...