First Name *

Last Name *

Full Legal Name *

Email *

Phone *

Address *

City *

State *

Country *

Postal code *

Date of birth *

Gender *

Preferred Pronouns *

Your current occupation *

Your Website

Payment Options *

I will be paying in full

I would like the IATE in-house payment plan

I am currently on an IATE payment plan that includes Phase 2

I would like 3rd party financing

Please list your availability M-F *

Please list any major scheduling conflicts that you may have *

Who was your primary instructor for Phase #1? *

Based on your Phase 1 training, how would you define Tantra to a beginner? *

Have you read the anti-racism covenant? Link is above this application *

Yes

How do you feel when reading the covenant? Do you share these values? *

Are you open/willing to attend affinity group meetings before Module 2 retreat? *

What Authentic Tantra practices have you enjoyed the most? *

What practices have you had the most resistance too? *

You will be meeting with Devi and Dr. Erickson for your Phase #2 consultation. This is a wonderful time to ask questions about your practice and receive additional guidance. Do you have any questions about your practice or Tantra in general that you would like to ask them?

Please attach your "Phase 1 Student Hours Logbook/Summary Sheet" *

Did you complete the Phase 1 Assessment? *

Yes

If you completed the Phase 1 Assessment please upload it here:

.pdf, .docx, .doc