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Mystic Heart Wisdom School Application

Please note: This is a secure form and all information submitted will be kept confidential.

*First Name  
*Middle Initial  
*Last Name  
*Preferred Name  
*Street Address  
Apt Number  
*Zip Code  
*Gender   Male    Female
*Birth Date     (XX/XX/XXXX)
*Email Address  
  Personal Website or Blog  
Mobile Phone  
(Phone or mobile phone, one needs to be completed)
*Job Title/description  
*Highest Degree Received  
  Religious Affiliation  
*Do you have a spiritual director? 
*Describe your current spiritual practice/s. 
*List five books and/or movies that have  
informed your spiritual formation. 
*Briefly describe your interest in the Perennial   Philosophy and the Wisdom Traditions.
*How have you integrated other Wisdom   Traditions into your own original faith Tradition?
*Names/dates of classes taken at Seton Cove. 
*How did you learn about the 
Mystic Heart Wisdom School? 
*What do you hope to learn/experience through your studies at the Mystic Heart Wisdom School?
Is there any other information about yourself that you would like to share?