Integral Ministry Practice Certificate Program Application Form

Question Title

* 1. Contact Information

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Affiliation (check one)

Unity

CSL

Other (please specify)

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* 3. Ministry Information

Name on Ministry

State/Province

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* 4. When did you complete or when will you complete the 21 Day Quantum Living Process (formerly the Q Process)? Note: The Quantum Living Course must be scheduled and completed prior to the end of the first quarter, and can be taken by any certified trainer.

Date of Completion

Date

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* 5. Who was the Quantum Living Coach that taught, or will teach the course? And who led or will lead the debriefing process?

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* 6. Are you a Certified Quantum Living Process Facilitator (Q Coach)?

Yes

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* 7. If NO, are you interested in becoming a Certified Quantum Living Process Facilitator (Q Coach) in the future?

Yes

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* 8. What is your current ROLE (minister, board/council member, lay leader, volunteer, etc.)?

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* 9. Tuition Payment Schedule
Tuition Cost is $5,000 for the entirety of the program, if paid up front and in full. Alternatively, payments of $1,375 can be made per quarter, with tuition totaling $5,500. Please choose your payment choice below.

I am paying in full ($5,000)

I am making quarterly payments ($1,375 x 4 payments = $5,500)

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* 10. When do you plan to start?

September 2024

September 2025

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* 11. Please note: Anyone taking courses must be enrolled with UWSI. Upon receipt of this application, we will check our records. If you are not enrolled, we will reach out and request that you complete an enrollment application and pay a one-time, non-refundable $35.00 fee.

Yes

Integral Ministry Practice Certificate Program Application Form

Question Title

* 1. Contact Information

Question Title

* 2. Affiliation (check one)

Question Title

* 3. Ministry Information

Question Title

* 4. When did you complete or when will you complete the 21 Day Quantum Living Process (formerly the Q Process)? Note: The Quantum Living Course must be scheduled and completed prior to the end of the first quarter, and can be taken by any certified trainer.

Question Title

* 5. Who was the Quantum Living Coach that taught, or will teach the course? And who led or will lead the debriefing process?

Question Title

* 6. Are you a Certified Quantum Living Process Facilitator (Q Coach)?

Question Title

* 7. If NO, are you interested in becoming a Certified Quantum Living Process Facilitator (Q Coach) in the future?

Question Title

* 8. What is your current ROLE (minister, board/council member, lay leader, volunteer, etc.)?

Question Title

* 9. Tuition Payment ScheduleTuition Cost is $5,000 for the entirety of the program, if paid up front and in full. Alternatively, payments of $1,375 can be made per quarter, with tuition totaling $5,500. Please choose your payment choice below.

Question Title

* 10. When do you plan to start?

Question Title

* 11. Please note: Anyone taking courses must be enrolled with UWSI. Upon receipt of this application, we will check our records. If you are not enrolled, we will reach out and request that you complete an enrollment application and pay a one-time, non-refundable $35.00 fee.

* 9. Tuition Payment Schedule
Tuition Cost is $5,000 for the entirety of the program, if paid up front and in full. Alternatively, payments of $1,375 can be made per quarter, with tuition totaling $5,500. Please choose your payment choice below.