TOBACCO APPRENTICESHIP APPLICATION FORM
MEN'S APPRENTICESHIP
AUSTIN, TX
AUGUST 22 - NOVEMBER 21
Last Name
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Date of birth
First Name
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Email
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Mailing Address*
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Phone
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Emergency Medical Contact (Name & Phone)
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What is your intention for joining the Tobacco Apprenticeship?
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Are you currently working through any physical maladies? Bone breaks, surgeries, autoimmune disorders, gut issues, etc?
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Do you currently take any medications? If so, please list:
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Do you regularly work with any herbal medicines, supplements or plant medicines? Please list.
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Do you have any allergies?
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What are your sensitivities and known triggers? Physical, emotional, social
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Please describe your current understanding of shamanic tobacco, as fully and thoroughly as you can.
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SUBMIT
