Confidential Questionnaire

   Forename: ____________________________________________________________

    Surname: ____________________________________________________________

    Address: ____________________________________________________________

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  Town/City: ____________________________________________________________

     County: ____________________________________________________________

Postal Code: ____________________________________________________________

    Country: ____________________________________________________________

  Telephone: ____________________________________________________________

     E-mail: ____________________________________________________________

  Signature: ____________________________________________________________

       Date: ____________________________________________________________

 Occupation: ____________________________________________________________

What factors have led you to apply for this course?

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Briefly explain your own religious upbringing and background.

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Have you undertaken any esoteric or metaphysical training?
Please give brief details.

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What do you want from this course?

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Which writers have influenced your spiritual understanding?

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Write a little about yourself and your interests in support of your
application.

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