Group Application

Raise Your Frequency Transform Your Life

PLEASE NOTE: This form is not for an approval process, it's only a questionnaire for Selina to know your personal situation prior to starting the group. Your privacy, as always is respected.

Full Name*
First Last
Email*
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Please share a bit about your spiritual path to date:*
Briefly describe why you are interested in joining our work study group:*
Is 4-6pm EST one Sunday per month doable for you?*
- Yes
- No