Application for The Institute of New Paradigm Intimacy

Fill out the form below we will contact you when admissions open for the next round

Name

First Name

Last Name

Mobile Number

What country are you located in?

Why do you want to be a Sexuality leader?

What is your biggest drive to work within the realms of sexuality?

What qualifications do you already hold?

Please mention qualifications in any field.

Have you attended any sexuality courses or trainings previously? If so please name them.

Have you ever experienced trauma? If yes, how have you worked with this experience?

Are you currently on any prescription medications?

If we decide this programme is a good fit for you, a deposit of $500 will be required. Are you willing to invest this to start the process? Please choose from the following

Any further questions about the training that you may have?

Which Platform did you hear about this course from?

Facebook

Instagram

The directory

Linked In

Twitter

Word of mouth

Did you speak with anyone to guide you to this form

Please mention the team members name you spoken with (if applicable)

Select Mens or Womens Course

Your Instagram Handle

We would love to connect with you on social media!

Application for The Institute of New Paradigm Intimacy

Victoria Bardovic

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