[ Printable Application Form | Return to Masters Program ]
______________________________________________________________________

BTB FENG SHUI MASTERS TRAINING PROGRAMTM APPLICATION

(Include 2 recent photos.)


Name ______________________________ Email Address _____________________

Address _______________________________________________________________

City ________________________________ State ____ Zip __________________

Phone: (Day) ____________________________ (P.M.) ______________________

Date of Birth ______________________ Time of Birth ____________________

Education:  Please list all academic institutions attended, years, and
degree(s) received:

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________


Current Occupation:                                From:      To:

_______________________________________________________________________

Previous Occupation:                               From:      To:

_______________________________________________________________________


Please list any other learning experiences you think are relevant:

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________


Previous Feng Shui Experience:  (list all courses, length, instructor,
where taken)

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________


Please explain your reasons for wishing to enter the BTB Feng Shui
Masters Training ProgramTM on the reverse side of a separate
sheet of paper.




Financial Data:
How do you expect to pay tuition?

_______________________________________________________________________

_______________________________________________________________________


You have access to tuition for
__ 1 session    __ 1 year    __ 2 years    __ 3 years

Summer Camp Deposit  $300
Session One         $1075
Session Two         $1075
Session Three       $1075
Session Four        $1075
Total               $4600


An Additional summer camp fee will apply depending on the type of
accommodation and whether summer camp is attended on the East coast
or West coast.

If your tuition is derived from sources other than your own savings or
employment, please complete the following:

Person(s) or agency paying tuition:                   Relationship:

_______________________________________________________________________

Address:                                              Phone:

_______________________________________________________________________


In Case of Emergency, Notify:

Name:                     Relationship:               Phone:

_______________________________________________________________________



Application Fee:  There is a $15 non-refundable application fee
required with the submission of your application.  Make your check or
money order payable to "MJE Enterprises, Inc." or supply
this credit card information:

__ VISA    __ MasterCard

Card # __________________________________________

Expiration Date: _______________



All applicants:

_____________________________________  ________________________________
Signature                              Date


Complete and mail to:
  BTB Feng Shui Masters Training Program
  2939 Ulloa Street
  San Francisco, CA 94116
Please call (415) 753-6408 ext.26 for further information.

Web: www.btbfengshui.org       Phone: (415) 681-1182