Academy

Application to the Quantum Techniques Academy

Contact Information

First Name *

Last Name *

Street Address *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Country *

Home Phone Number *

Work Phone Number

Email Address *

How did you hear about the QT Academy (referral by client or practitioner, web search, QT Elist, other academy member, Etc.)? *

Level 1 Prerequisites you have acquired: (Place a check in the box of each item you have accessed or completed studies.) *

Truth Techniques Guide to Self-Testing

Basic Foundations (Building a code)

Reconnection and Physical Scan

QT Release Technique Teleclinic

Chronic Illness Teleclinic Series

QT Advanced Trauma Scan & Treatment

Seat of Consciousness Scan

At least 2 months of Elite Mentoring

None of the above

Level 2 Prerequisites you have acquired: (Place a check in the box of each item you have accessed or completed studies.) *

Admin Comments: (for admin use only)