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Spirit Connection Application

Please write legibly and clearly so we can send to PRN ASAP

DATE: ____________________

NAME:_____________________________________________________________

HOME PHONE:______________________SS#____________________

SYSTEM PHONE:____________________________________________________

ADDRESS:__________________________________________________________

CITY & STATE:_________________________________________ZIP:___________________

E-Mail Address (if you have one):____________________________________

MARK THE AREAS OF INTEREST/EXPERIENCE:
TAROT_____ RUNES______ASTROLOGY_____CRYSTALS_________
OTHER:(EXPLAIN)___________________________________________________
HEALING: (EXPLAIN)___________________________________________________

EXPERIENCE: READINGS, TELEPHONE, FAIRS, ETC:
DATES: COMPANY NAME
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
LIST THREE REFERENCES/INCLUDE PHONE NUMBERS
____________________________________________________
____________________________________________________
____________________________________________________
Are you currently a professional counselor? YES_________ NO________
Do you have clients who seek your advice and pay for your services? YES_____ NO_____
What licenses, degrees or certifications do you hold?_________________________________
______________________________________________________________________________________
How do you describe yourself to clients? (i.e. psychic, clairvoyant, astrologer, tarot reader, etc.)
________________________________________________________________________________
Do you have specialized training? Please be specific.____________________________________
____________________________________________________________________________________________
Do you have experience reading for clients over the phone? YES______ NO______
Please describe:____________________________________________________________________
Upon receipt of your application, contract and other forms, we will contact you for a reading/discussion of your areas of expertise and we can discuss any questions you may have at that time. We look forward to speaking to you in the near future.
Thank you very much,
The Staff@ Spirit Connection

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