Let’s work together.Fill out and submit this form to apply for the ACADEMY OF ALCHEMYapprenticeship Name * First Name Last Name Email * Phone (###) ### #### Preferred method of contact * Email Phone call Text Childhood birth name/nickname(s) (If different than current or preferred name) Preferred name * First language learned * Are you able to understand/speak/read English? Yes No How did you find Starshine Healing Arts? * Do you wish to start your own business? * Yes No Unsure I am already running a business. What skills do you wish to refine in our work together? * If you are unsure, type "unsure" What areas of your life would you like to shift or transform? * Have you ever worked with a spiritual coach or mentor before? If so, what was your experience? * Have you ever worked with a psychic medium/channel before? * Yes No Have you ever done somatic processing before? * (EMDR, Eye mapping, breathwork, downregulation techniques, naming sensations in the body, etc) Yes No Unsure Navigating triggered and heightened emotional states will happen in our work together. Feeling emotional discomfort is not a cause for refund. Emotional discomfort is a vital and necessary part of your transformation journey. * I understand, and I AM willing to learn from emotional discomfort I AM NOT willing to experience emotional discomfort Do you have an emotional support system in place outside of this container? * (Therapists, friends, family, loved ones) Yes, I have a strong emotional support system No, I do not have a strong emotional support system On a scale of 1-10, how emotionally supported do you currently feel? * 1 - Not emotionally supported 10 - Very emotionally supported 1 2 3 4 5 6 7 8 9 10 Do you consider yourself an intuitive, an empath, or sensitive to energy? * Yes No Unsure Are you comfortable with learning visualization techniques, meditations, and psychic/energetic tool building? * Yes No Is there anything you would like me to know to best support you through our work together? * Thank you!