Prgoram Application Form

The Personal Transformation Program (PTP) provides you with a set of tools and techniques that support a lifelong journey to personal fulfillment. Using a unique blend of Core Energetics, mindfulness practices, self-responsibility, the power of group support, Presencing, Radical Aliveness, and other contemporary modalities, you’ll build a roadmap that guides you to your full potential. You’ll walk away with renewed self-awareness—that is, a deeper understanding of how your emotional history affects your daily life—and will have already begun the journey to self-actualization.

The PTP runs for five non-consecutive weekends over the course of a year. Between group weekends, you’ll be actively engaged in The Bridge Process, our unique support system enabling you to reach your goals and introduce positive, sustainable change into your life.

CLASS SIZE IS LIMITED so we encourage you to apply as early as possible.

Interviews are required and will be scheduled in-person or remotely upon receipt of application.

Name

First Name

Last Name

Cell Phone

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Phone

Home

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

YYYY

Emergency Contact

Name

First Name

Last Name

Emergency Contact

Phone

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Please check below

I am available to attend all five (5) of the 2020-2021 training weekends which will be held on: September 25-27 2020, November 20-22 2020, January 22-24 2021, March 19-21 2021, May 14-16 2021

Yes

Please check below

I understand that the non-refundable base tuition for the program year is $XXX.00 if enrolled before May 15, 2020 and $3,600 after May 15, 2020, due upon acceptance and enrollment. The program is non-residential and takes place in New York City. Lodging and meals are not provided. Please ask us about our payment plan option.

Yes

Statement

In order for us to learn more about you, please write an autobiographical statement. Please include the following information: ● Why are you applying to this program? ● What are the greatest challenges in your life? ● What are some of your unfulfilled goals and aspirations? ● What beliefs do you hold that keep you stuck? ● What are the areas in your life you are most fulfilled? ● What gifts will you bring to the program? ● What impact would you like to have on the world around you? ● What’s your professional background? ● What’s your history with therapy? With meditative practices? ● Describe a difficult period in your life and how you handled it? ● Have you ever been hospitalized for emotional or mental reasons? ● Do you have any physical limitations that could affect your ability to participate in physical activities and movement? ● Is there anything else that you want us to know about you?

Letters of Recommendation

Please provide 2 letters of recommendation. Guidelines: have references write about their experience knowing you, your personal attributes, and what gifts they see you bringing to the world. Please also have references share the capacity in which they know you. References can email letters directly to info@corevolutionnyc.com with YOUR NAME and RECOMMENDATION LETTER in the subject line.

I will have 2 people send letters of recommendation via email.