The Leela School of Awakening
Serving Love as a True Friend
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accredited by A.C.H.E.
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Student Enrollment Form
Information and Privacy
The Leela School is committed to providing students with quality education services. The school needs to ask for personal information from students, parents and guardians so it can plan, provide and report on its services, and to monitor compliance. Personal information will only be disclosed for these purposes as permitted by law.
If you need help completing this form, including translation services, please contact the Leela School
Section 1 - Student Details
Contact information
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Afghanistan
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Albania
Algeria
American Samoa
Andorra
Angola
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Antigua and Barbuda
Argentina
Armenia
Aruba
Ascension and Tristan Da Cunha Saint Helena
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivarian Republic of Venezuela
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic People's Republic of Korea
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Federated States of Micronesia
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Plurinational State of Bolivia
Poland
Portugal
Province of China Taiwan
Puerto Rico
Qatar
Republic of Korea
Republic of Moldova
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Eustatius and Saba Bonaire
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and The South Sandwich Islands
South Sudan
Spain
Sri Lanka
State of Palestine
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Tajikistan
Thailand
The Democratic Republic of The Congo
The Former Yugoslav Republic of Macedonia
Timor-leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United Republic of Tanzania
United States Minor Outlying Islands
United States
Uruguay
Uzbekistan
Vanuatu
Vietnam
Virgin Islands (British)
Virgin Islands (US)
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
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Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Ascension and Tristan Da Cunha Saint Helena
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivarian Republic of Venezuela
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic People's Republic of Korea
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Federated States of Micronesia
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Plurinational State of Bolivia
Poland
Portugal
Province of China Taiwan
Puerto Rico
Qatar
Republic of Korea
Republic of Moldova
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Eustatius and Saba Bonaire
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and The South Sandwich Islands
South Sudan
Spain
Sri Lanka
State of Palestine
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Tajikistan
Thailand
The Democratic Republic of The Congo
The Former Yugoslav Republic of Macedonia
Timor-leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United Republic of Tanzania
United States Minor Outlying Islands
United States
Uruguay
Uzbekistan
Vanuatu
Vietnam
Virgin Islands (British)
Virgin Islands (US)
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
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State
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Emergency contact
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E-mail
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Relation
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Section 2 - Course Details
Select the course you are applying for
*
True Friend Immersion – Module 1 only - USA
True Friend Immersion – Full year - USA
True Friend Immersion – Module 1 only - Australia
True Friend Immersion- Full year - Australia
True Friend Immersion – Module 1 only - Europe
True Friend Immersion – Full Year - Europe
The Enneagram for Awakening – Module 1 only - USA
The Enneagram for Awakening – Full year - USA
The Enneagram for Awakening – Module 1 only - Australia
The Enneagram for Awakening – Full year - Australia
The Enneagram for Awakening – Module 1 only - Europe
The Enneagram for Awakening – Full year - Europe
Please select the course
Please state your reason for applying
*
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Section 3 - Additional Student Information
Nationality
*
Please enter your nationality
Citizenship
*
Please enter your citizenship
Country of Birth
*
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Ascension and Tristan Da Cunha Saint Helena
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivarian Republic of Venezuela
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic People's Republic of Korea
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Federated States of Micronesia
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Plurinational State of Bolivia
Poland
Portugal
Province of China Taiwan
Puerto Rico
Qatar
Republic of Korea
Republic of Moldova
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Eustatius and Saba Bonaire
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and The South Sandwich Islands
South Sudan
Spain
Sri Lanka
State of Palestine
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Tajikistan
Thailand
The Democratic Republic of The Congo
The Former Yugoslav Republic of Macedonia
Timor-leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United Republic of Tanzania
United States Minor Outlying Islands
United States
Uruguay
Uzbekistan
Vanuatu
Vietnam
Virgin Islands (British)
Virgin Islands (US)
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
Please enter your country of birth
Education
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Highest degree attained
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Please enter your highest degree attained
Year of completion
*
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Other certification
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Section 4 - Employment and Medical
Current Employment Status
*
Full Time
Part Time
Unemployed
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Field of Employment (e.g. Hospitality, Education etc.)
*
Please enter your field of employment
Do you have a disability, impairment or long-term medical condition which may affect your studies?
*
Yes
No
Please enter if you have a disability
If ‘Yes’ please indicate areas of disability/impairment
Hearing
Vision
Mobility
Learning
Medical
Other
Please enter areas of disability impairment
Do you have any history or present form of mental illness, psychological issues, psychoses, phobia, childhood trauma, eating disorders, anxiety disorders, etc., which may affect your participation in the school?
*
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Do you require any other accommodations to assist you in completing your studies?
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Section 5 - Declaration
How did you hear about the Leela School
*
Please enter where you heard about the Leela School
How would you like to pay for your coursework
*
In Full
3 Part payments per module
Monthly payments
Other
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Code of Ethics, Confidentiality Agreement, Policies and Signature
I have read, agree and will comply to the ACHE Code of Ethics.
You can read it here
*
Yes
Please comply to the ACHE rules of ethics
I have read, agree and will comply to the Leela School Confidentiality Agreement.
You can read it here
*
Yes
Please comply with the Leela School Confidentiality Agreement
I have read, agree and will comply to the Leela School Policies.
You can read it here
*
Yes
Please comply with the Leela School Policies
I hereby declare that the information provided is true and accurate and I will inform The Leela School of any changes to the above information
*
Yes
Please confirm the provided information is true and accurate
Date of Signature
*
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Your Full Name
*
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Photo Credits:
Dhruva Baumbach
and
Jasmin Lace