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ARE YOU INTERESTED IN JOINING OUR TEAM? Please review our joining procedure & fill application form PLEASE NOTE: For Local/Residential Therapists Residing in City where Illuminations branch is located, we do not offer part time availability. If you have a full time job and cannot dedication minimum 6 hours, please do not apply. Thank you!

1. Fill Application Form in soft copy

5. Three month initial probation period!

4. Upon Acceptance: Policies & Financials to confirmed

2. Submit all documents (check list below)

3. Interview: Our Team will contact you!

PLEASE NOTE: Please see below for further details, to ensure smooth and quick process Step 1. Complete the Application Form in soft copy BELOW (all application forms and documents should be sent in one email) Sending this application form via your email address ensures that you are responsible for the information provided and ensure that it is accurate in its entirety. Step 2. Submit all documents Please ensure following is complete before submitting, as incomplete information and requirements will simply delay the process: ☐ Profile Picture: Please keep in mind the following protocol: ! No unprofessional images or dark shots will be accepted ! Background must be preferably white or pastel background in high-resolution softy copy (LOW RESOLUTION IMAGES WILL NOT BE ACCEPTED) Illuminations Well Being Center Global Site: www.illuminationsworld.com

! Dress Code: White or Pastel Color

  ☐ Scanned Certifications of Qualifications used to practice your modality(s)

 

☐ Scanned Clear Passport Copy (FRONT & BACK) sent to us as a PDF ☐ Scanned Clear Passport Picture in a JPEG format Step 3. Interview Local Facilitators: In the process of reviewing applications and expect to schedule interviews within 2-14 days. If you are shortlisted, a representative from our Human Resources department will contact you directly. In the event that your qualifications do not meet our required needs at this time, your application will remain on file for 90 days. International Facilitators: Phone/Skype Interviews will be arranged. The objective of the interview is to learn about your services/vision/implementation process/content management of your services. You will be requested to provide a complimentary session for our team to gain a first hand experience of your approach. Step 4. Policies and Financials The objective of the second meeting is to orient you with our policies and procedures for working at an Illuminations Center. You will be asked to sign the policies & procedures mentioned in the facilitator’s guidelines. The financial arrangements will also be discusses with you. If you are an international facilitator, a soft copy of the details will be sent to you. Step 5. Three-Month Initial Probation Period At Illuminations we currently follow a three-month probation period where we understand and learn more about the working relationship and synergy between the center and the facilitator. This allows us to decide whether both parties would like to move forward for a long-term MOU. Please note: If you reside in the city of where Illuminations is located, you will automatically qualify as a residential (local) facilitator. If you reside Internationally, you automatically qualify as an international guest facilitator.

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Illuminations Well Being Center Landline: +971 4 448 7043 Email: [email protected] Website: www.illuminationsworld.com (Dubai, UAE) www.illuminationsworld.com (Pune, India)

ILLUMINATIONS APPLICATION FORM Thank you for you interest in contributing to the Illuminations platform. In order for us to receive all necessary information and process your request to be a part of our growing team, please fill in the application form below: Please Note: This application must be TYPED using BLACK Font: ARIAL Font Size: 10 REGULAR. For questions not applicable, please provide the answer: N/A

PERSONAL DET WHY DO YOU WISH TO JOIN ILLUMINATIONS?

WHAT DO YOU EXPECT FROM YOUR WORKING EXPERIENCE AT ILLUMINATIONS?

PERSONAL DETAILS FIRST NAME: (Officially as stated in Passport)

LAST NAME (Officially as stated in Passport)

HEALERS NAME: (Name you would like to be advertised as, if different from above)

CURRENT CITY:

DATE OF BIRTH: (Day/Month/Year)

GENDER:

LANDLINE NO.:

MOBILE NO.:

CITY:

COUNTRY:

NATIONALITY: (As Per Passport)

TITLE: EXAMPLE: Spiritual Psychologist, Hypnotherapist, Energy Healer

EMAIL ADDRESS

PROMOTIONAL WEBSITE (if any):

EMERGENCY CONTACT DETAILS (IMPORTANT IN CASE EMERGENCY) NAME OF EMERGENCY CONTACT

CONTACT NUMBER FOR EMERGENCY CONTACT

EMAIL ADDRESS FOR EMERGENCY CONTACT

RELATIONSHIP WITH APPLICANT? EXAMPLE: Husband/Friend/Daughter

Illuminations Well Being Center Global Site: www.illuminationsworld.com

PROFESSIONAL BIO (PROFILE) (VIEW LINK EXAMPLE: http://www.illuminations.ae/apps/mindbody/staff/100000005) (Please write your BIO in the section below):

Education Level

PREVIOUS EDUCATION HISTORY Name of Institution

UNIVERSITY: OTHER:

TYPE OF SERVICES OFFERED At Illuminations We Offer the Following Services For further information on our services, please visit: http://www.illuminationsworld.com/services TYPE OF SERVICE FREE TALKS & AWARENESS SEMINARS & EXPERIENTAL SESSIONS/DEMOS

DURATION 1 hour – 1.5 hours

> Are normally free of charge and introduce the approaches you are conducting

MEDITATIONS & YOGA CLASSES SELF EMPOWERMENT WORKSHOPS (FOR SPIRITUAL & PERSONAL DEVELOPMENT WITH NO CERTIFICATE)

1 hour – 1.5 hours 2 hours - 18 hours

> Are catered for personal and spiritual growth, in the field of relationships, health, wealth, career and self-expression.

HOLISTIC TRAINING PROGRAMS (QUALIFICATION FROM CERTIFYING BODY) > Are normally certified courses to qualify individuals to help themselves and others through a particular approach through professional training

PRIVATE CONSULTATIONS IN THE ABOVE HOLISTIC APPROACHES

AS PER REQUIREMENTS & DIFFERENT LEVELS 1 – 2 hours

> Are holistic healing sessions conducted privately in one to one format

SPIRITUAL & WELLNESS DESTINATION RETREATS

3 – 10 days

> Are wellness and destination retreats

ý Please Check Mark the Applicable Services that you can conduct at our center

☐MEDITATIONS

☐SELF EMPOWERMENT WORKSHOPS

☐PRIVATE CONSULTATIONS

☐HOLISTIC TRAINING PROGRAMS

☐SPIRITUAL & DESTINATION RETREATS

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Illuminations Well Being Center Landline: +971 4 448 7043 Email: [email protected] Website: www.illuminationsworld.com (Dubai, UAE) www.illuminationsworld.com (Pune, India)

FACILITATOR HOLISTIC HEALING QUALIFICATIONS PLEASE NOTE: YOU WILL BE REQUIRED TO SCAN CERTIFICATIONS To learn more about which our private consultation services, please visit: http://www.illuminations.ae/private-

consultations#HolisticApproaches

NAME OF HEALING APPROACH (EXAMPLE, REIKI, HYPNOTHERAPY

CERTIFYING BODY/ NAME OF INSTITUTE

WHERE DID YOU LEARN THIS APPROACH? LOCATION?

DURATION OF PRACTICE (How long have you been practicing for?)

PLEASE NOTE: If the approach you are offering is not mentioned in this section of our website http://www.illuminations.ae/private-consultations#HolisticApproaches PLEASE WRITE THE DESCRIPTION OF THE APPROACH BELOW

DESCRIPTION OF HOLISTIC APPROACHES OFFERED (PLEASE LIST ONLY THREE MAIN ACTIVE APPROACHES) APPROACH 1 NAME OF APPROACH 1 EXAMPLE: RECONNECTIVE HEALING DESCRIPTION OF APPROACH 1

APPROACH 2 (IF MORE THAN 1) NAME OF APPROACH 2 EXAMPLE: REIKI HEALING DESCRIPTION OF APPROACH 2

APPROACH 3 (IF MORE THAN 2) NAME OF APPROACH 3 EXAMPLE: HYPNOTHERAPY Illuminations Well Being Center Global Site: www.illuminationsworld.com

DESCRIPTION OF APPROACH 3

INFORMATION ABOUT PRIVATE CONSULTATION SERVICES DETAILS OF APPROACH 1 WHAT IS THE NAME OF YOUR PRIVATE APPROACH? WHAT IS THE NAME OF YOUR PRIVATE CONSULTATION EXAMPLE: RECONNECTIVE HEALING

HOW MUCH DO YOU CURRENTLY CHARGE FOR YOUR PRIVATE CONSULTATION? IN USD

HOW LONG IS THE DURATION OF YOUR SESSION FOR? EXAMPLE: 1 Hour or 90 minutes

WHAT IS REQUIRED FOR THE SET UP TO CONDUCT THS APPROACH? EXAMPLE: MASSAGE BED, HYPNO CHAIR, AND CONSULTATION TABLE?

DESCRIBE WHAT A CLIENT CAN HOPE TO EXPECT OUT OF THE SESSION?

LIST THE BENEFITS A CLIENT CAN EXPERIENCE FROM THIS SESSION

APPROXIMATELY HOW MANY SESSIONS ARE REQUIRED IN ORDER TO RESOLVE THE ISSUE? HOW MANY DO YO YOU RECOMMEND?

DETAILS OF APPROACH 2 WRITE N/A IF NOT APPLICABLE & YOU ONLY CONDUCT 1 APPROACHES WHAT IS THE NAME OF YOUR PRIVATE APPROACH? WHAT IS THE NAME OF YOUR PRIVATE CONSULTATION EXAMPLE: RECONNECTIVE HEALING

HOW MUCH DO YOU CURRENTLY CHARGE FOR YOUR PRIVATE CONSULTATION? IN USD

HOW LONG IS THE DURATION OF YOUR SESSION FOR? EXAMPLE: 1 Hour or 90 minutes

WHAT IS REQUIRED FOR THE SET UP TO CONDUCT THS APPROACH? EXAMPLE: MASSAGE BED, HYPNO CHAIR, AND CONSULTATION TABLE?

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Illuminations Well Being Center Landline: +971 4 448 7043 Email: [email protected] Website: www.illuminationsworld.com (Dubai, UAE) www.illuminationsworld.com (Pune, India)

DESCRIBE WHAT A CLIENT CAN HOPE TO EXPECT OUT OF THE SESSION?

LIST THE BENEFITS A CLIENT CAN EXPERIENCE FROM THIS SESSION?

APPROXIMATELY HOW MANY SESSIONS ARE REQUIRED IN ORDER TO RESOLVE THE ISSUE? HOW MANY DO YOU NORMALLY RECOMMEND?

DETAILS OF APPROACH 3 WRITE N/A IF NOT APPLICABLE & YOU ONLY CONDUCT 2 APPROACHES WHAT IS THE NAME OF YOUR PRIVATE APPROACH? WHAT IS THE NAME OF YOUR PRIVATE CONSULTATION EXAMPLE: RECONNECTIVE HEALING

HOW MUCH DO YOU CURRENTLY CHARGE FOR YOUR PRIVATE CONSULTATION? IN USD

HOW LONG IS THE DURATION OF YOUR SESSION FOR? EXAMPLE: 1 Hour or 90 minutes

WHAT IS REQUIRED FOR THE SET UP TO CONDUCT THS APPROACH? EXAMPLE: MASSAGE BED, HYPNO CHAIR, AND CONSULTATION TABLE?

DESCRIBE WHAT A CLIENT CAN HOPE TO EXPECT OUT OF THE SESSION?

LIST THE BENEFITS A CLIENT CAN EXPERIENCE FROM THIS SESSION?

APPROXIMATELY HOW MANY SESSIONS ARE REQUIRED IN ORDER TO RESOLVE THE ISSUE? HOW MANY DO YOU NORMALLY RECOMMEND?

INFORMATION ABOUT SELF EMPOWERMENT WORKSHOPS Illuminations Well Being Center Global Site: www.illuminationsworld.com

List at least three different Self Empowerment Workshops that you can facilitate. Please Note:

WORKSHOP 1 NAME OF WORKSHOP/TITLE:

DURATION OF WORKSHOP: EXAMPLE: 4 Hours or 16 Hours DESCRIPTION OF WORKSHOP: (DESCRIBE THIS WORKSHOP IN FIVE SENTENCES)

AIMS & OBJECTIVES OF THE WORKSHOP Please Note: PLEASE WRITE IN BULLET POINT FORMAT EXAMPLE: IN THIS WORKSHOP PARTICIPANTS WILL BE ENABLED TO LEARN AND UNDERSTAND THE FOLLOWING: A. B. C. D. E. F. G. REQUIREMENTS OF THE WORKSHOP: Please Note: Additional Material that the client would need to bring or the center would need to organize? PLEASE BE SPECIFIC! The center will request you for hand outs upon confirmation of the workshop on the scheduled calendar. EXAMPLE: Crayons Feathers, Drums or Tarot Cards? 1. 2. 3.

WORKSHOP 2: NAME OF WORKSHOP/TITLE:

DURATION OF WORKSHOP: EXAMPLE: 4 Hours or 16 Hours DESCRIPTION OF WORKSHOP: (DESCRIBE THIS WORKSHOP IN FIVE SENTENCES)

AIMS & OBJECTIVES OF THE WORKSHOP Please Note: PLEASE WRITE IN BULLET POINT FORMAT EXAMPLE: IN THIS WORKSHOP PARTICIPANTS WILL BE ENABLED TO LEARN AND UNDERSTAND THE FOLLOWING: A. B. C. D. E. F. REQUIREMENTS OF THE WORKSHOP:

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Illuminations Well Being Center Landline: +971 4 448 7043 Email: [email protected] Website: www.illuminationsworld.com (Dubai, UAE) www.illuminationsworld.com (Pune, India)

Please Note: Additional Material that the client would need to bring or the center would need to organize? PLEASE BE SPECIFIC! The center will request you for hand outs upon confirmation of the workshop on the scheduled calendar. EXAMPLE: Crayons Feathers, Drums or Tarot Cards? 1. 2. 3.

WORKSHOP 3: NAME OF WORKSHOP/TITLE:

DURATION OF WORKSHOP: EXAMPLE: 4 Hours or 16 Hours

DESCRIPTION OF WORKSHOP: (DESCRIBE THIS WORKSHOP IN FIVE SENTENCES)

AIMS & OBJECTIVES OF THE WORKSHOP Please Note: PLEASE WRITE IN BULLET POINT FORMAT EXAMPLE: IN THIS WORKSHOP PARTICIPANTS WILL BE ENABLED TO LEARN AND UNDERSTAND THE FOLLOWING: A. B. C. D. E. F. REQUIREMENTS OF THE WORKSHOP: Please Note: Additional Material that the client would need to bring or the center would need to organize? PLEASE BE SPECIFIC! The center will request you for handouts upon confirmation of the workshop on the scheduled calendar. EXAMPLE: Crayons Feathers, Drums or Tarot Cards? 1. 2. 3.

INFORMATION ABOUT HOLISTIC TRAINING PROGRAMS Please Note: This application will entitle you to only list ONE certified training program with three different levels that you conduct, if you have more training and more levels you can state it below and we will take details from you later.

LEVEL ONE: NAME OF TRAINING: EXAMPLE: Hypnotherapy Level One/Reiki Level One

DURATION OF TRAINING EXAMPLE: Number of Hours: 4 Hours or 16 Hours Number of Days: 2

INVESTMENT IN USD

CERTIFICATION BODY IF ANY?

DESCRIPTION OF TRAINING: (DESCRIBE THIS WORKSHOP IN FIVE SENTENCES)

Illuminations Well Being Center Global Site: www.illuminationsworld.com

AIMS & OBJECTIVES OF THE TRAINING: Please Note: PLEASE WRITE IN BULLET POINT FORMAT EXAMPLE: IN THIS WORKSHOP PARTICIPANTS WILL BE ENABLED TO LEARN AND UNDERSTAND THE FOLLOWING: A. B. C. D. E. F. REQUIREMENTS OF THE TRAINING: Please Note: Additional Material that the client would need to bring or the center would need to organize? PLEASE BE SPECIFIC! The center will request you for handouts upon confirmation of the workshop on the scheduled calendar. EXAMPLE: Crayons Feathers, Drums or Tarot Cards? 1. 2. 3.

LEVEL TWO: NAME OF TRAINING: EXAMPLE: Hypnotherapy Level One/Reiki Level One

DURATION OF TRAINING EXAMPLE: Number of Hours: 4 Hours or 16 Hours Number of Days: 2

INVESTMENT IN USD

CERTIFICATION BODY IF ANY?

DESCRIPTION OF TRAINING: (DESCRIBE THIS WORKSHOP IN FIVE SENTENCES)

AIMS & OBJECTIVES OF THE TRAINING: Please Note: PLEASE WRITE IN BULLET POINT FORMAT EXAMPLE: IN THIS WORKSHOP PARTICIPANTS WILL BE ENABLED TO LEARN AND UNDERSTAND THE FOLLOWING: A. B. C. D. E. F. REQUIREMENTS OF THE TRAINING: Please Note: Additional Material that the client would need to bring or the center would need to organize? PLEASE BE SPECIFIC! The center will request you for handouts upon confirmation of the workshop on the scheduled calendar. EXAMPLE: Crayons Feathers, Drums or Tarot Cards?

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Illuminations Well Being Center Landline: +971 4 448 7043 Email: [email protected] Website: www.illuminationsworld.com (Dubai, UAE) www.illuminationsworld.com (Pune, India)

1. 2. 3.

LEVEL THREE: NAME OF TRAINING: EXAMPLE: Hypnotherapy Level One/Reiki Level One

DURATION OF TRAINING EXAMPLE: Number of Hours: 4 Hours or 16 Hours Number of Days: 2

INVESTMENT IN USD

CERTIFICATION BODY IF ANY?

DESCRIPTION OF TRAINING: (DESCRIBE THIS WORKSHOP IN FIVE SENTENCES)

AIMS & OBJECTIVES OF THE TRAINING: Please Note: PLEASE WRITE IN BULLET POINT FORMAT EXAMPLE: IN THIS WORKSHOP PARTICIPANTS WILL BE ENABLED TO LEARN AND UNDERSTAND THE FOLLOWING: A. B. C. D. E. F. REQUIREMENTS OF THE TRAINING: Please Note: Additional Material that the client would need to bring or the center would need to organize? PLEASE BE SPECIFIC! The center will request you for handouts upon confirmation of the workshop on the scheduled calendar. EXAMPLE: Crayons Feathers, Drums or Tarot Cards? 1. 2. 3.

INFORMATION ON MEDITATIONS CLASSES Please Note: Please list three different meditation classes that you can conduct.

MEDITATION CLASS 1: NAME OF CLASS:

DURATION OF CLASS: EXAMPLE: 1 Hour

DESCRIPTION OF CLASS: (DESCRIBE THIS MEDITATION CLASS IN FIVE SENTENCES)

Illuminations Well Being Center Global Site: www.illuminationsworld.com

REQUIREMENTS OF THE CLASS: Please Note: Additional Material that the client would need to bring or the center would need to organize? PLEASE BE SPECIFIC! The center will request you for hand outs upon confirmation of the class on the scheduled calendar. EXAMPLE: Crayons Feathers, Drums or Tarot Cards? 1. 2. 3.

MEDITATION CLASS 2: NAME OF CLASS:

DURATION OF CLASS: EXAMPLE: 4 Hours or 16 Hours

DESCRIPTION OF CLASS: (DESCRIBE THIS CLASS IN FIVE SENTENCES)

REQUIREMENTS OF THE CLASS: Please Note: Additional Material that the client would need to bring or the center would need to organize? PLEASE BE SPECIFIC! The center will request you for hand outs upon confirmation of the class on the scheduled calendar. EXAMPLE: Crayons Feathers, Drums or Tarot Cards? 1. 2. 3.

MEDITATION CLASS 3: NAME OF CLASS:

DURATION OF CLASS: EXAMPLE: 4 Hours or 16 Hours

DESCRIPTION OF CLASS: (DESCRIBE THIS WORKSHOP IN FIVE SENTENCES)

REQUIREMENTS OF THE CLASS: Please Note: Additional Material that the client would need to bring or the center would need to organize? PLEASE BE SPECIFIC! The center will request you for hand outs upon confirmation of the class on the scheduled calendar. EXAMPLE: Crayons Feathers, Drums or Tarot Cards? 1. 2. 3.

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Illuminations Well Being Center Landline: +971 4 448 7043 Email: [email protected] Website: www.illuminationsworld.com (Dubai, UAE) www.illuminationsworld.com (Pune, India)

INFORMATION ON FREE AWARENESS SEMINARS AND EXPERIENTIAL SESSION Please Note: Please list three free awareness seminars you can conduct.

AWARENESS SEMINARS AND EXPERIENTIAL SESSION 1: NAME OF SESSION:

DURATION OF SESSION: EXAMPLE: 4 Hours or 16 Hours

DESCRIPTION OF SESSION: (DESCRIBE THIS SESSION IN FIVE SENTENCES)

AWARENESS SEMINARS AND EXPERIENTIAL SESSION 2: NAME OF SESSION:

DURATION OF SESSION: EXAMPLE: 4 Hours or 16 Hours

DESCRIPTION OF SESSION: (DESCRIBE THIS SESSION IN FIVE SENTENCES)

TESTIMONIALS Please Note: For advertising and marketing purposes, we require you to list out testimonials from three different clients with reference details so that we may verify the information that you have provided is true and accurate.

TESTIMONIAL 1: NAME OF CLIENT:

LOCATION OF CLIENT:

CONTACT NUMBER/EMAIL ADDRESS OF CLIENT:

PROFESSION OF CLIENT: EXAMPLE: HOUSEWIFE/ENGINEER/DOCTOR

PLEASE INSERT CLIENTS WRITTEN TESTIMONIAL:

TESTIMONIAL 2: NAME OF CLIENT:

LOCATION OF CLIENT:

CONTACT NUMBER/EMAIL ADDRESS OF

PROFESSION OF CLIENT:

Illuminations Well Being Center Global Site: www.illuminationsworld.com

CLIENT:

EXAMPLE: HOUSEWIFE/ENGINEER/DOCTOR

PLEASE INSERT CLIENTS WRITTEN TESTIMONIAL:

TESTIMONIAL 3: NAME OF CLIENT:

LOCATION OF CLIENT:

CONTACT NUMBER/EMAIL ADDRESS OF CLIENT:

PROFESSION OF CLIENT: EXAMPLE: HOUSEWIFE/ENGINEER/DOCTOR

PLEASE INSERT CLIENTS WRITTEN TESTIMONIAL:

REFERENCES & PREVIOUS WORK EXPERIENCE Please Note: As part of our quality control and screening process, we require you to list three references of previous work experience. This may be teachers, institutes or previous clients.

DO YOU HAVE ANY PREVIOUS EXPERIENCE IN WORKING AS HOLISTIC PROFESSIONAL?

☐YES

☐NO

If YES, please describe details of your last experience?

REFERENCE 1: NAME OF CLIENT:

LOCATION OF CLIENT:

CONTACT NUMBER/EMAIL ADDRESS OF CLIENT:

PROFESSION OF CLIENT: EXAMPLE: HOUSEWIFE/ENGINEER/DOCTOR

REFERENCE 2: NAME OF CLIENT:

LOCATION OF CLIENT:

CONTACT NUMBER/EMAIL ADDRESS OF

PROFESSION OF CLIENT:

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Illuminations Well Being Center Landline: +971 4 448 7043 Email: [email protected] Website: www.illuminationsworld.com (Dubai, UAE) www.illuminationsworld.com (Pune, India)

CLIENT:

EXAMPLE: HOUSEWIFE/ENGINEER/DOCTOR

SCHEDULES & AVAILABILITY PLEASE NOTE AS PER OUR FACILITATORS GUIDELINES: ! ! ! !

A minimum of 45 minutes -1 hour is provided for lunch and a minimum of 15 minutes is provided between each full duration session or event EXAMPLE: SESSION 1 (1 HOUR) – GAP 15 Minutes – SESSION 2 A minimum of 3 Free 30 Minute Consultations will be booked back to back with a 15-minute break after 3 consultations Local facilitators will be required to give a minimum of 6 hours of scheduled time per day to Illuminations for services with 1 day off International Facilitators will be required to give minimum of 7 days for 9 working hours to Illuminations for 6 days per week with one day off, in order to make it financially feasible for both parties.

MORE DETAILS WILL BE PROVIDED IN THE Facilitators UPON ACCEPTANCE OF APPLICATION.

WHAT IS THE MAXIMUM NUMBER OF PRIVATE CONSULTATIONS YOU CAN CONDUCT PER DAY? EXAMPLE: 5

WHICH DAY WOULD YOU BE AVAILABLE EXAMPLE: CHECK MARK 6 DAYS AS PER POLICY

☐MONDAY ☐TUESDAY ☐WEDNESDAY ☐THURSDAY ☐FRIDAY ☐SATURDAY ☐SUNDAY TIMINGS: (MAINLY FOR LOCAL FACILITATORS) Please Note: CENTER TIMINGS IS 8AM – 1OPM PLEASE WRITE N/A where not applicable IMPORTANT FOR GUEST/INTERNATIONAL FACILITATOR A 9 HOUR SHIFT IS APPLICABLE SO PLEASE STATE THE SAME AS BELOW: YOU MUST ALWAYS REMEMBER TO ADVISE THE SCHEDULING TEAM OF YOUR START DATE AND TIME AND END DATE AND TIME BEFORE EVERY TRIP.

DAY OF THE WEEK:

MORNING/AFTERNOON SHIFT (8AM – 4PM) START TIME END TIME

EVENING SHIFT (4PM – 10PM) START TIME END TIME

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY

ADDITIONAL DETAILS & INFORMATION MEDICAL HISTORY Illuminations Well Being Center Global Site: www.illuminationsworld.com

DO YOU HAVE ANY/OR HAVE YOU HAD ANY LIFE THREATING ILLNESS THAT WE NEED TO KNOW ABOUT? IF SO, PLEASE SPECIFY. DO YOU SUFFER FROM ANY OF THE FOLLOWING?

☐DIAEBETES

☐HYPERTENSION ☐ALLERGIC REACTIONS ☐CONTAGIOUS ILLNESS? FINANCIAL BANK INFORMATION

Please Note: Your details will be kept safely with us, however upon confirmation and acceptance of your application, we will require these details in order to make payouts. We prefer receiving all the information at once so we can accelerate our process. NAME OF BANK: NAME OF BENEFICIARY: IBAN/ACCOUNT NUMBER: BRANCH: ADDRESS: SWIFT CODE:

CRM DETAILS (OFFICIAL USE ONLY) CRM USER NAME: CRM PASSWORD:



I confirm the above information to be true & accurate.

Signature

Please note: If you reside in Dubai, United Arab Emirates or Pune, India, you will automatically qualify as a residential (local) healer. If you reside outside of the United Arab Emirates, you automatically qualify as a guest facilitator.

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Illuminations Well Being Center Landline: +971 4 448 7043 Email: [email protected] Website: www.illuminationsworld.com (Dubai, UAE) www.illuminationsworld.com (Pune, India)