Kundalini Dance Facilitator Training Application 2022 Online Programme

Welcome to the Kundalini Dance Tantric Shamanic Priestess Application

I ask everyone who is interested in the training to tell me a little bit more about themselves to
see if we are a good fit for each other.

I am ecstatic to you are called to this work.

If you have already filled out a previous application form please contact me at leyolah@leyolahantara.com to let me know.

KDFT 2022 Training Application Form - Online Programme

Name*
First Last
Email*
Please list your Phone Number (with Country Code)
This is a dynamic Online programme that requires direct relationship, participation and interaction with Leyolah, your Mentors, and other Course Participants. Are you committed to showing up as much as you can to interact live?*
There are 2 Live Calls being offered each week for 2 different timezones- are you prepared to be active and engaged in this community and show up to 1 Live Call per week over the 3 month programme?*
Are you prepared to be vulnerable and dive into your own personal transformational process as a part of your professional development path?*
This is an ONLINE Programme but are you also interested in attending the OPTIONAL IN PERSON Retreats in July 2022:*
(in-Person Retreats are an additional cost)
Where do you reside in the world? (City and Country)*
Have you attended any workshops, retreats or online courses with me? Which ones?*
Can you let me know a little more about your background in dance, body work, yoga or somatic based therapy?*
What is your background in healing, therapy?*
Do you have a spiritual practice?*
What are the key issues you are aware of that are up in your life currently? Are there any areas of challenge or where you would like to have a breakthrough?*
What is your relationship to your sexuality and sexual energy in general?*
Is your primary interest in facilitating others, or for personal practice or both?*
If you are going to be teaching, where will you be teaching?*
What are your networks or communities you would be reaching out to teach?*
How old are you?*
Can you please send me a photo of yourself? Attach it here*
How is your physical health?*
Have you ever been diagnosed with a mental health condition? Please explain*
In the last two years have you experienced significant long term depression or anxiety, paranioa, pshychosis, manic depression, bi polar, or suicidal thoughts? (This is tender area in our human experience so please share with us if you have experienced these things because it really helps us to support you in the best way we can through the journey )*
Do you suffer from seizures or epilepsy? If so, how what is your management plan?*
Did someone refer you? Please tell us who so we can thank them*
Is there anything else you'd wish to share?
Are you on Instagram? If so please list your IG handle*
Are you on Facebook? If so please list your FB Profile and/or Page*

Thank you for taking the time to share your heart with me. I will be in touch.
Please make sure to save both of my email addresses:
leyolah@kundalinidance.com
info@kundalinidance.com

Warm waves of love,

Leyolah