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* 1. What is your name?

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* 2. At what email address would you like to be contacted?

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* 3. What is your preferred phone number?

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* 4. What courses have you completed with the Hoffman Institute?

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* 5. What teacher(s) would you be willing to be placed with for the Hoffman Transformation Circle?
(Please select as many as you can, as not all teachers will have availability)

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* 6. From the above list of teacher, please provide your top 3 preferences:

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* 7. What days of the week could you be available to participate in the Transformation Circle?

  Preferred Available Possible Not Available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

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* 8. What time(s) of day could you be available to participate in the Transformation Circle?

  Preferred Available Possible Not Available
8am- 10am PT
10am-Noon PT
Noon- 2pm PT
2pm-4pm PT
4pm- 6pm PT
6pm- 8pm PT

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* 9. Do you have anything else you would like us to know, or any questions?

0 of 9 answered
 

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