Application for Guide
in the Lineage of King Salomon

Application Form

Full Name:
Student #:
Date of Birth:
Contact Phone #:
Current Occupation:
Submit a headshot picture (Image type JPG only):
If approved I intend to attend the next Guide Initiation Day which is in:
City and Country:
Date of Class:
Application will be PROCESSED ONLY if YES is SELECTED for ALL of the following conditions:
I am aware that if I do not attend the above Guide Initiation Day that my application will be destroyed and I will need to reapply with a full explanation as to why I did not attend the class.
I am also aware that missing the above Guide Initiation Day for whatever reason, means I will be required to submit another no-refundable application fee of $100 with another application.

Healers Academy Week One

Date completed:
Location (City, Country):
Life Activations completed:

Healers Academy Week Two

Date completed:
Location (City, Country):
Full Spirit Activations completed:

Please Note: Everything Listed Below Is Not Necessarily A Required Prerequisite

Are you a Ritual Master?:
If yes, what Level?:
Have you completed or are you currently taking Universal Kabbalah?:
If yes, who is/was your Instructor?:
If yes, how far have you completed?:
What Other Classes or Initiations have you taken with the Modern Mystery School?
Why do you feel you want to be a Guide?

Application Completed:

A $100 non refundable application fee must be recieved and clear before your application will be processed. Payments can be made by VISA, MasterCard, AMEX, Cheque or Money Order.

For more information on payments please call 416-625-3470.