Level I Enrollment Form

Enroll in Level I:

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Last Name

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Address Line 2

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Which class time do you prefer?

What interested you in this course? How do you hope to integrate the Immanuel Approach into your life?

Do you have past experience with the Immanuel Approach or other emotional healing, spiritual guidance, or therapy modalities? Please describe.

Please share a bit about your educational and vocational background.

How did you hear about the Immanuel Institute?

Click Enroll to be taken to the tuition payment page. **Please NOTE: Your enrollment is not complete until tuition is paid.