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PSI Basic Seminar Audit Application

Where do you want to audit the PSI Basic Seminar?(Required)

Select your exact date and location to audit the PSI Basic Seminar(Required)

Which days of the Basic do you plan to attend?(Required)

Check all that apply. (Some locations may have an alternate schedule.)

Day 1 - Friday

Day 2 - Saturday

Day 3 - Sunday

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Online PSI Basic Seminar Audit Agreements

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Participation(Required)

I agree to keep my video ON during all class sessions and to participate in all exercises as instructed by the facilitator. NOTE: Typically, returning graduates will be paired with other returning graduates for exercises and shares, unless directed otherwise by the instructor. If you are paired with a new student, you will share from your current experience, not about when you attended your Basic.

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Zoom Name(Required)

I agree to have my full name listed on Zoom with “Graduate” before my name (ex. Graduate - Suzy Smith) at all times.

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Be On Time(Required)

Be on time. You will not be permitted into the Zoom once the class has started. You must be in the waiting room prior to the start of class, including breaks.

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Confidentiality(Required)

I agree to maintaining confidentiality of others' shares and experiences. Recording of any kind is strictly prohibited. No AI note taking accounts will be permitted.

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No Solicitation(Required)

I agree to no soliciting of any PSI Seminars participants.

Contact Information

Name(Required)

First Last

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Email(Required)

Enter Email Confirm Email

Mobile Phone(Required)

Best Way to Contact Me:

Phone

Text

Other

Other Way to Contact Me

I consent to receive communications from PSI Seminars:(Required)

May include phone, email, or social media.

Yes

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Date of Birth(Required)

YYYY

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Gender(Required)

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Preferred Gender Pronoun

He/Him/His

She/Her/Hers

They/Them/Theirs

Other

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Are you pregnant?(Required)

Yes

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Marital Status(Required)

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Number of Children(Required)

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Children's Ages

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Level of Education(Required)

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Occupation(Required)

Where did you attend the Basic?(Required)

Date Attended Basic(Required)

YYYY

Date Attended PSI VII

YYYY

Date Attended Leadership Seminar

YYYY

Date Attended PLD Pacesetters Leadership Dynamics

YYYY

Date Attended Principia/Summit/Level Up/Next-10

YYYY

What specific goal or objective do you want to gain from auditing?(Required)

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Confidential Health Questionnaire

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Do you have any history of psychiatric disorder?(Required)

Yes

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Have you been institutionalized for mental illness within the last twelve months?(Required)

Yes

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Have you undergone treatment by a psychiatrist or psychologist in the last 6 months?(Required)

Yes

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Do you have any history of psychiatric disorder, been institutionalized for mental illness within the last 12 months, or undergone treatment by a psychiatrist or psychologist in the last 6 months?(Required)

Yes

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Please explain any of the above marked "yes"(Required)

PSI Seminars are based on an educational model, not a medical model. If you have any history of psychiatric disorder, or have been institutionalized for mental illness within the last twelve months, or have been undergoing treatment by a psychiatrist or psychologist within the last six months, it is the policy of PSI Seminars that you do NOT attend.

Terms and Conditions

Audit Agreements(Required)

Auditing the PSI Basic Seminar is a valuable privilege that includes responsibilities.

The following are guidelines that will assist you with your experience in the BASIC.

Enter and exit the room during breaks only. If you leave the room you will not be allowed to return until the next break.

Be on time. You will not be permitted into the room once the class has started.

Sit in the back section of the room and form a small group with other auditing students. Please do not join new student groups.

No side talking.

Maintain confidentiality of others shares and experiences.

Always wear a name-tag and have it visible.

No solicitation of any PSI participants.

Participate in all exercises.

Sharing periods during class sessions are reserved for new participants (unless permitted by the instructor). Graduates will have the opportunity to share in small groups with other graduates. When you do share, talk about what you have JUST discovered about yourself versus when you first attended.

During the sessions and particularly the exercises, allow new students to take initiative, volunteer, solve problems, and direct others.

Refrain AT ALL TIMES from directing, controlling, or solving other's problems.

I have read, understand, and agree to the Audit Agreements.

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19(Required)

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact.

PSI WORLD, AND PSI SEMINARS, LLC strongly recommends vaccination prior to attending any seminars and/or indoor gathering.

PSI WORLD, AND PSI SEMINARS, LLC has put in place preventative measures to reduce the spread of COVID-19; however, PSI World and PSI Seminars cannot guarantee that you will not become infected with COVID-19. Further, attending our seminar could increase your risk of contracting COVID-19.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by attending a PSI Seminar’s event and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the seminar may result from the actions, omissions, or negligence of myself and others, including, but not limited to, PSI employees or staff, volunteers, and program participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my attendance at, or participation in PSI Seminars (‘Claims”). On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless PSI, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of PSI World or PSI Seminars, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any PSI Seminars program.

I have read, understand, and agree to the Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

Signature(Required)

I have answered all questions truthfully, and I have read, understand and agree to all policies and clauses contained within.

The PSI Basic Seminar is an educational course where you challenge yourself to explore, question, and discover your life such that you expand your personal and professional effectiveness NOW!

Enhance and strengthen your foundation for a life of meaning & purpose.
Access your individual creativity and how to, once and for all, quash defeating internal dialogue.
Discover how to have a deeply fulfilling life by contributing and connecting with others in a deep and meaningful way.
Feel what it’s like to be seen and encouraged to be the highest version of YOU and learn the patterns of successful human inter-relations and communication.
Tap into boundless energy, enthusiasm and excitement by letting go of resentments so you can live fully in the present.
Uncover the mystery of creating abundance by discovering your power to attract all the wealth you desire and gain simple & easy tools for developing thought processes that will help you achieve your goals.
Join over 500,000 people who have experienced the power of the PSI Basic Seminar and have credited this life-changing course for providing them with the tools to discover their potential and realize their dreams.

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PSI Basic Seminar Audit Application

Online PSI Basic Seminar Audit Agreements

Contact Information

Confidential Health Questionnaire

Terms and Conditions

Privacy

Security

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