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Apprentice Training

Divining Earth Training Application Form

Divining Earth

We respect your privacy and will hold all your information with strict confidentiality.
It is our intent to assemble a diverse group of students who would work and travel well together as a cohort. Please answer all questions honestly. Be as detailed and concise as possible.
Taking the time to complete the application will help you and BEZA discern whether this training is appropriate for you at this time.
The 3 sections of this form will take you between 30-60 minutes to complete. Complete and click “submit” (info@bornastheearth.com will receive your application).
Once we have received your application we will be in touch via email to set-up a time for an interview.

Please enable JavaScript in your browser to complete this form.

Apply: *

I am applying for the Full Apprentice Gatekeeper Training (all 5 Modules), including the in-person South African divination journey from 03 - 24 November 2025.

I intend to begin my journey around the medicine wheel with the following module: *

Gateway One: FIRE (1 February - 16 March 2025)
Gateway Two: WATER (29 March - 11 May 2025)
Gateway Three: EARTH (31 May - 13 July 2025)
Gateway Four: NATURE (26 July - 7 September 2025)
Gateway Five: STONE (20 September - 1 November 2025)

Name *

Surname *

Date of Birth *

Age *

Email *

Phone Number *

Physical address *

Country *

Nationality *

Gender *

Home Language *

How fluent am I in English (writing and speaking)? *

Good
Fair
Poor

Medical Information *

Given the nature of the Elemental and transformational work it would be helpful to be aware of your general state of health. Please enter “In Good Health” if you have no relevant health concerns that the facilitators should be aware of. For example: Are you taking any psychiatric medication, antidepressants, heart or blood pressure medications? Do you suffer from migraines? Do you struggle with stress and/or sleep deprivation? etc. ?

I am comfortable with any of the following diets (check all that apply): *

Red meat
Poultry
Fish
Vegetarian
Vegan
Dairy-free
Gluten-free
Sugar-free

Please list any allergies / restrictions or special dietary requirements *

Highest Formal Education *

Personal Interests/Hobbies *

Describe your Intention and Motivation to receive training *

Describe your interest and experience in using various forms of divination (Oracle Cards; Stone & Bone; Astrology; i Ching; Tea leaves; Ruins; Stick Divination; etc.) *

Describe your character *

Volunteer or Service Experience *

List any healing, self-improvement workshops, retreats, or therapies you have partaken in *

Do you have a meditation practice? *

If so, please describe your practice and frequency / minutes per week? Enter NONE if you are a beginner.

What experience do you have with shamanism or working directly with Nature’s Wisdom? *

Enter NONE if you are a beginner.

Tell us who or what most inspires you? *

We would like to know who or what you look to for encouragement, purpose, or inspiration.

Describe a moment when you were INSPIRED *

Describe a moment when you felt inspired to do or create something important to you. What was the idea/feeling? What did you do to bring it into reality? Did you succeed? What journey did it take you on? What important life lessons did you learn along the way?

What would you say is the highest priority facing humankind at present? *

If you had the means, how would you set about catalyzing meaningful change? *

What immediate LIFE challenges are you facing that you would care to share? *

Describe your experience (if any) of travel to foreign countries and cultures *

How did you hear about BEZA? *

Have you participated in any of these BEZA offerings? Please check ALL that apply. *

Meditation (Zazen)
Talking Circle (Council Training)
Heart-to-Heart Mentoring
Private Divination
Private Shamanic Training
Contributed to our Dana or YES Fund
Donated to Plant a Tree

I do have RELIABLE access to the internet for the online training? *

I do have a Universal Power Supply (UPS) to keep you online during power outages? *

I will have a valid passport with at least four blank pages at time of travel? *

I will have travel and health insurance for the South African journey? *

Prior to my interview, I have the following questions (type 'NONE' if you have no questions) *

By submitting this application form I agree that Born as the Earth Zen Academy NPC (BEZA) can process and securely record my information. *

I agree

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