Application for Enrollment in the KI Training and Certification Program

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Name

First Name

Last Name

Phone

(###)

###

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Section 1: Background and Experience

What is your educational background?

Describe any previous training or experience you have in other modalities.

List all modalities that you’ve practiced for your own benefit, including dates.

Section 2: Personal Practice and Commitment

What does your daily practice look like? How has this practice helped you?

Please describe any blind spots or challenging areas in your practice that you consistently focus on.

Describe your biggest successes and breakthroughs in your KI practice.

How committed are you to maintaining your personal practice even after certification?

Section 3: Understanding of Codependency and Emotions

What is your understanding of the relationship between codependency and buried emotions?

Are you currently processing emotions connected to codependency? If so, please explain.

Section 4: Working with Others

Are you aware of any personal issues that may disconnect you from others or make it challenging to help others?

Are you currently working on patterns such as fear of speaking up or needing to isolate? Please explain your practice.

Section 5: Self-Reflection and Unique Qualities

What personal motivations do you think you need to explore further in this program?

What do you feel is missing from your current practice that you hope to gain from this training?

How do you intend to use your certification to help others?

Section 6: Commitment to Program Standards

Do you understand that certification does not guarantee employment, and you are expected to build your own client base?

Yes

Have you read and do you agree to abide by the training standards presented with this application?

Yes

If you have any issues with the training standards, please bring them up now.

Section 7: Final Reflections

Reflect on any authority issues from the past that might affect your experience in this training program.

What does authenticity mean to you in the context of helping others?

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