Prerequisites Form

First Name *

Last Name *

Degree(s) *

Occupation(s) *

Email *

Phone *

Street Address *

City *

State *

Zip Code *

Country *

Please indicate which of the following courses you wish to attend: * FIGI: Fundementals of Guided Imagery ATS-1A: Role of the Guide ATS-1B: Advanced Work with the Inner Advisor ATS-2A: Resistance & Parts Work ATS-2B: Parts & Conflict Resolution ATS-3A: IGI℠ with Children ATS-3B: Adult Survivors of Childhood Trauma ATS-4A: Physical & Chronic Illness ATS-4B: Death, Dying, & Loss DBCCC: Consciousness & Creative Communication MRMBM: Essentials of Mind/Body Medicine

Please indicate the highest level of AGI training you've completed: * No Prior AGI Training FIGI Completed Level 1 Completed Level 2 Completed Level 3 Completed Certification Completed Faculty Training Completed

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