| Name | |||
| Address | |||
| Telephone No (Day) | Telephone No (Evening) | ||
| Age | |||
| Birth Data (Optional) | |||
| Profession | |||
| Languages | |||
| Please give educational background in detail: | |||
| Please give your psychological experience (training, therapy, any major psychological difficulties you feel you have worked through): | |||
| What do you feel to be your problems, shortcomings or limitations in terms of an astrological/psychological training of this kind? | |||
| What areas would you like to improve in terms of your astrological understanding? | |||
| Are there any special problems in terms of this training, such as foreign residence, language difficulties etc? | |||
Please write out overleaf your reasons for wishing to do the three-year professional training in psychological astrology; your goals in terms of the training; how you see this training fitting into your work.
Please allow us about 8 weeks to consider your application. If additional pages are included, please type your replies.