Enrollment Form

Entrance Interview

Have you ever used the services of Holistic/Alternative Techniques, Counseling, or Therapy
Yes
Do you have any training, skills or interest related to this field of study?
Yes
Explain
Are you comfortable talking to others in a therapeutic professional setting?
Yes
Are you currently employed?
Yes
Do you want to work for...
Self-employed
Do you seem to switch jobs a lot?
No
Did you enjoy school?
Yes
Did you join any school activities?
No
Are you good at taking directions from others?
Yes
Do you complete tasks?
Yes
Are you flexible?
Yes
Have you ever been convicted of a crime?
No
Do you have a drug or alcohol problem?
No
Give me two reasons why you should be admitted to this training program?
Are there any health concerns you would like to see improved through the information obtained during your eduction/training?
Yes
Are you currently taking any prescribed medication?
No

Entrance Examination

This exam is in two parts. The first part is to determine your ability to get along with and motivate (understand) people. The Second part is an essay form to review in part, your present knowledge, understanding of the Healing Arts & Sciences and how the alternative / holistic approach to health can help individuals.
Part One
1. All people like to be told what to do and how to live their lives.
False
2. Some people are considered oppositional, that is, they will do the opposite of what they are asked to do.
True
3. People will change their habits only when they are ready to change.
True
4. One of the most important areas in therapy is to determine what motives or drives a person to act.
True
5. A successful way to motive someone is to find out what is important to him or her first. Then motivate to their importance, rather than your own opinion.
True
6. It is much easier to predict what a group of people will do rather than an individual.
True
7. Some people are more of an analytical nature and some are more of an emotional nature.
True
8. An individual’s childhood, including family structure and school experiences can have a dramatic effect later in adulthood.
True
9. Some people can be classified as passive and same as taking charge.
True
10. Communication and a sincere interest in helping others improve their quality of life are important attributes of a successful therapist
True
Part Two
Please answer the following questions. Be thorough. Answer with as much detail as possible.
Referring to your chosen career, as a Holistic Health Practitioner, Behavioral Therapist, Clinical Hypnotherapist, Life Coach, Aromatherapist, or Master Herbal Practitioner.
Application / Enrollment
Agreement for Admission
Be sure to read all pages of this agreement and initial where indicated. It is part of your contract with the school.
In case of emergency, please notify (Name of nearest relative):
Educational Experience: List your prior Education: (including High School, College, University and other Training Programs)
Do you have a physical or learning disability?
Yes
Are there health concerns that would limit your ability to successfully participate in the activities of course?
No

(highest level of education completed)

BE SURE TO READ ALL PAGES OF THIS AGREEMENT. IT IS PART OF YOUR CONTRACT WITH THE SCHOOL

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EDUCATIONAL and INSTRUCTIONAL SERVICES are provided by California Institute of the Healing Arts & Sciences (CIHAS), 2377 Gold Meadow Way, Suite 100, Gold River (Sacramento,) CA 95670, as a Distance Learning Training Program through ZOOM.

Programs or Classes are held on the following:
Sat
Enrollment Agreement Period PROGRAM
Enrollment Agreement Period CLASSES

PLEASE NOTE

Read completely and retain a copy for your records. This Application/ Enrollment Agreement contains important information. You should have already received a school catalog. If not, Please go to the home page {upper right hand corner at: www.Californialnstitute.net and print and save, or review and save on your computer. If this is not possible, please request one. Please review this information and material, as it contains important school policies and procedures that every student needs to become familiar with. We look forward to issuing your Diploma(s), Certificate(s), Transcript, and any CEU's when you complete your program(s) or class(es), when any requested paperwork is complete, and all of your account with CIHAS is paid in full.

 

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