Basic training application Please note there is a $50 non-refundable application fee that must be submitted HERE before your application is reviewed. Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Occupation Age Previous experience with Ilan Lev Method Include if you have received any treatments, approximate number of sessions, and from whom Why are you interested in becoming an Ilan Lev Method practitioner? * How did you hear about us? Any previous surgeries/hospitalizations For physical or psychological reasons Physical history Physical illnesses, accidents, falls, head injuries, etc. Do you have any other certifications/training in relevant areas? Emergency contact Any other information to support your application I have paid my $50 application fee via Paypal (https://www.paypal.com/paypalme/ilanlevnyc). I understand my $50 application fee is non-refundable. Yes I understand that there will be an additional $750 payment required to hold my place in the course Yes I understand that course tuition will be accepted in 5 parts: deposit, module one, module two, module 3, and module 4, all of which must be paid in full before the start of each module’s intensive training. Yes We're so happy to have you join us!We will be in touch soon.