| SECTION
1 – Personal Data |
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First Name |
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Last Name |
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Mailing Address |
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City |
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State/Province |
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Zip/Postal Code |
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Country |
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Office Tel. |
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Home Tel. |
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Fax |
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E-mail |
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| SECTION
2 – Personal Information |
| We would like to know a little
about you and your spiritual orientation, so we can support you
more effectively as you go through the course. We’ll keep
this information strictly confidential. If you prefer not to
answer a particular question, put “N/A”. The form
won’t go through unless each box is filled in. |
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1. Have you completed Mussar
2 or Path Of The Soul? If not, please explain briefly what
form of study or readings you have done previously.
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2. How did you hear about this
program?
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3. What is the most recent
program in Jewish learning in which you participated?
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4. What do you hope to get
out of the Mussar in Action: Advanced Practice in Conscious Living
program?
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5. We may be able to give you
a chevruta (study partner) within driving distance. What is the
nearest large city to where you live and how many miles/kilometers
away is it?
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| 6. What is your age? |
| 7. What is your marital status?
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| 8. What is your gender?
Male
Female |
9. Do you have any concerns
about your ability to complete the program?
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10. If you are Jewish, which
denomination(s) would you say most closely describes you?
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12. If your primary affiliation
is to a religion other than Judaism, or if you do not have a
religious affiliation, please note your spiritual orientation
here.
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| SECTION
3 – Payment |
 In
order to keep administrative costs low, the
only payment we can accept is via PayPal. This is a fully
secured site which accepts
major credit cards and even online checks.
When you have completed the PayPal form, please close that
window only, being careful not to close out of the whole website,
and return to this window so you can submit this form. Without
doing so, your registration form will not be automatically be
submitted to TMI. |
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Canadian Residents:
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US Residents:
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Materials FOR PERSONAL USE only |
| I understand that the materials
I receive in this program are copyrighted and are made available
to me for my personal use only. By making payment and registering
for this program, I affirm that I will not circulate them, post
them to websites, or distribute them in any way, nor give access
to the CourseSite of the materials to any other people. |
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| Refund
Policy |
For withdrawal within the
first two weeks after registration: 50% refund.
For withdrawal
after the first two weeks after registration: no refund.
If
you withdraw and decide to re-enroll at a future time, the
full fee will be payable at that time. |
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Questions or comments:
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