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Oughten House Foundation, Inc.

PO Box 74  • Binghamton, NY 13903 • USA

Phone (607) 724-2438 • Email: DNAPract@aol.com

Application for Admission

into the DNA Practitioner/Facilitator Certification Program

Important: To be considered for the Oughten House Foundation’s DNA Certification Program, complete this application form and submit it with the appropriate fee for the category you wish to apply.

Select one or more of the following:  

Please type of print legibly

Date of application: ______________ Current Occupation: ___________________________

Name: __________________________Date of Birth _________ Zodiac Sign _________

Home Addres s_____________________________________________________________

City: _________________________ State/Province: _________ Postal Code/Zip:_________

Country: __________________________ Mobile Phone:? _____________________

Home Phone: _____________________ Fax: __________________________

E-Mail: _________________________________ Web Site: _______________________

Please enter the name of the Certified Practitioner who referred you: _______________________________

Self-Interests
OHi’s Internet Website

1. Educational Background (Higher education only, most recent first)

2. Metaphysical/Spiritual Studies and Experience (add separate sheet as needed)

3.? Profession/work experiences for the past 5 years. ________________________________________________________________

________________________________________________________________

________________________________________________________________

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4. Two of my best attributes are:

(a) _______________________________________________________________________

(b) ______________________________________________________________

5. How do you see your relationships with others?

________________________________________________________________

________________________________________________________________

________________________________________________________________

6. References: List two Professionals you have known for at least 2 years who would recommend you for this program.

(a) _____________________________Address______________________________________________________

Phone _____________________________ Email ____________________________________________________

(b) _____________________________Address______________________________________________________

Phone _____________________________ Email ____________________________________________________

7. What is your philosophy of life?  (Briefly)

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

8. Describe how the DNA Activation Process served you.

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

9.How do you envision the DNA Activations as a Sacred Ceremony

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

10. Personal Photos:

Please attach two (2) recent and different self-portrait photos of yourself. They will be used for your identification and on the website Practitioner’s Contact Data. You may send photos via e-mail to:  DNAPract@aol.com. Minimum Size 2 inches by 2 inches (5 cm square)

10.Please list your training, presentation, and platform experiences.

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

11. References: List two Training/Facilitator Professionals you have known for at least 3 years and who would recommend that you have proven presentation skill competencies.

(a) _____________________________Address______________________________________________________

Phone _____________________________ Email ____________________________________________________

(b) _____________________________Address______________________________________________________

Phone _____________________________ Email ____________________________________________________

11.Program Fee and Payments

There is a $25 USD non-refundable Application and Enrollment fee for each level 1 of Certification.

The Program Fee for  Practitioner Coach Certification Level  is $300 USD and includes all the training and tutorial materials, examination processing, correspondence, and 10 hours of instructor coaching. The DNA Book and Activation Kits are not included.

Applications need be submitted for each additional level and must be accompanies by $15 15 USD processing fee.

Should you decide to advance to the status of Facilitator Instructor Certification level 4 , the Program Fee of $450 USD; and includes all the facilitator training, tutorials, examination processing, correspondence, and 15 hours of instructor coaching. The Application Fee is reduced to $15 USD

For your convenience, you can pay online using our secured website. Just go to the upper navigational bar, choose “Product List” and select product code DNC010 for the Application Fee, code DNC050 for the Practitioner Certification Program Fee, and code DNC250 for the Facilitator Program Fee, or as appropriate. Otherwise, you can pay by check, international money order. Payment plans can be arranged. All funds must be in US dollars and payable to Oughten House Foundation, Inc.

Please be advised that you are entering a business relationship and must uphold all agreements, copyright and trademark laws. A 10% Royalty Fees applies to all royalty based activities and services as outlined in the Certification Agreements.

I understand the fees applied, and that Program Fees are not refundable after 15 days. I have read and signed the “Certification” and “Code of Ethics” Agreements, have read and understood the “Price list & Professional Fees Schedule, ” and attest that all the information reported herein is true to the best of my knowledge. Furthermore, I agree not to share or divulge the training materials with others whatsoever.

Signature _________________________________ Date ______________ Witness _____________________

------------------------------------- Do Not write below this line -------------------------------------

Received:

Signed Application
Signed Code of Ethics
Two Recent personal photos or E-mail jpegs

Signed Certification Agreement
Application Fee Paid $ ____ ____

Personal interview notes

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

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Date_______________________Reviewed by:____________________________________

Application Action:  
Accept
Not Accepted
Conditional 
Acknowledgment Sent

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Oughten House Foundation, Inc.

CODE OF ETHICS

Certified DNA Practitioners and Facilitators

I have read, agreed, and signed the attached “Agreement of Ethical DNA Activations” and? will? send? it? as part of this “Code of Ethics” Agreement

RESPONSIBILITIES

• Put welfare of Client above all other considerations.

• Do the work as directed with Integrity and Love from your heart.

• Work only with permission, always honoring Client’s free will and free choice.

• Provide honest and clear representation of services, fees and results.

• Provide only services within areas of competence and training as per certification.

• Read and Understand the “Professional Standards for DNA Certified Practitioners”.

CONDUCT

• Respect the privacy of the individual and hold in confidence all client information

• Honor the position of Power, Trust, and Free Will

• Make referrals whenever in the best interest of Clients

• Charge reasonable fees and inform Client in advance of fees and payment arrangements

• Do not claim to heal or cure any illness, disease, or injury.

• Professional conduct with client and during seminars sponsored and underwritten by the Foundation is understood.

MISSION ALLEGIANCE

• Recruit and activate heart-driven healers and others dedicated to the mission

• Teach the DNA Healing Techniques worldwide

• Promote ongoing research into new ways of using the techniques

• Provide training for those interested in learning and practicing the DNA Healing Techniques.

The “Certification” AGREEMENT

• Each certified Practitioner/Facilitator of the Foundation, shall have signed a Certification Agreement based on the degree of certification earned.? Changes to the certification process, its criteria, fees, and requirements shall be implemented and consideration (Grand-Parenting) for existing certification and fees paid shall be pro-rated.

• This Agreement is based on our personal honor system and with everyone’s help, we can make a difference in the world.?

Foundation DUTIES AND RESPONSIBILITIES

• Maintain integrity of Oughten House Foundation, Inc., and the DNA mission.

• Establish, maintain, evolve, and enforce the Foundation's procedures and guidelines

• Oversee all practitioners

• Maintain quality control of Facilitators/Practitioners and materials

• Coordinate annual re-certification workshop/seminars

• Train Facilitators and Practitioners

• Audit Income and Expense Reports

• Review critique sheets on Instructors

• Coordinate information in all multi-media resources

• Recruit facilitators and practitioners

• Oversee distribution of all new information and changes to Certified Practitioners

• Advocate the “Genetic Grid” and the DNA Activation process worldwide

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Agreement of Ethical DNA Activations

Addressed to the General Public

(Revised 30 June, 2006)

T

his Agreement constitutes my comprehensive understanding and nature of the potential effects of performing DNA Activations upon myself and their effects upon others.

I have been properly informed that DNA Activations can stimulate physiological, psychological, emotional, and spiritual changes and transitions, both in myself and others. This information has been conveyed to me via any one or any combination of the following: by reading the book Change Your DNA, Change Your Life!, by attending a DNA Activation Seminar, from DNA Workshops or Courses, DNA educational handouts and Kits, or verbally.

It is agreed and understood that the Oughten House Foundation’s has clearly stated that “…anyone can self administer or perform a DNA Activation upon oneself. However, it should not be performed on others unless properly trained as a Certified DNA Practitioner.” …It’s Oughten House Foundation’s belief and policy that each individual be accountable for his or her own healing and self-empowerment. Performing DNA Activations upon another requires professional awareness, accountability, and skills training.

The primary reasons substantiating this ethic of accountability is that only through extensive Certified Training does a practitioner fully understand the DNA Activation process, effects, and ongoing transition to properly guide the client. DNA Activations are, in affect, a most sacred ceremony and a major healing process which requires accountability and support from a healing professional. Secondly, the structure of the Foundation and availability of the Practitioners can serve as a professional support, counseling, and long-term coaching. Thirdly, it avails the process to allow new information and healing techniques to be properly and quickly passed from the Foundation, to the Certified Practitioner, and onto the Client.

The Foundation truly encourages achieving results in a dignified manner and to uphold integrity and honesty. It is dedicated to bring forth this information to the public, and to work with love and joy from the heart.

In this pursuit, the Foundation request that the individual pledge their allegiance to uphold this Code of Ethic and not perform DNA Activations upon others unless properly Certified.

I, _________________________________, hereby agree to abide by this Code of Ethic and not perform DNA Activations upon others unless properly trained and Certified. I can, at any time, collaborate, explain, and encourage others to further explore the many benefits and transitions resulting from DNA Activations, either by themselves or by a Certified DNA Practitioner.

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Signatures

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Agreement for DNA Practitioner Certification

Level 1

(Effective 1 June 2006)

This Agreement is between Oughten House Foundation, Inc., a non-profit, tax exempt corporation including: its copyright owners, sub-contractors, affiliates, and licensees, with offices at Box 74 Binghamton, NY 13903 USA (herein after known as the Foundation)

and

________________________________ whose office is located at

________________________________________________ (herein after known as the Practitioner).

Whereby,

The Practitioner understands that Program is the property and product of the Foundation and must abide by the codes and procedures set forth by the Foundation.

The business relationship set forth herein constitutes the understanding that the Foundation acknowledges your competencies as a Certified DNA Level 1 Practitioner, as stipulated herein, will stand firmly behind you, and will continue to augment your Practitioner competencies as resources permit.

The Practitioner thoroughly understands that a flat 10 percent royalty be paid in a timely manner to the Foundation for all activations and seminars that Certified Practitioner renders. The Practitioner also understands that an appropriate fee be charged to the client and/or training participant

It is agreed and understood that the Oughten House Foundation’s Mission embraces the concept of the “Genetic Grid”—a worldwide endeavor to disseminate and provide very unique DNA Activations to all interested people.

As a Certified DNA Practitioner I agree to:

1. Work as an Independent Representative (non-employee) of Oughten House Foundation, Inc.; maintain required legal state, federal, and provincial licensing and tax responsibilities.

2. Uphold the Codes of Ethics, Professional Standards, and principles of the Foundation.?

3.  Adhere to the criteria set forth in the Details of DNA Certification Program Overview and all certification related documents within the Pre-Certification Package.

4. Maintain an “ACTIVE” status which implies activating at least five people and generating at least $50 USD of business from all sources, for the Foundation every 90 days (a fiscal quarter).

5.  Purchase Practitioner Manuals for DNA Activations and Seminars from Foundation.

6.  To serve, coach, and assist in the activation and healing of new and existing clients based on the LEVEL ONE of Certification as follows: --perform First & Second DNA Activations plus Introductory Seminars and Small Groups with a maximum of five (5) people.

7.  Perform DNA Activations only with individuals and in small gatherings (maximum of 5 people). Agree not to train, facilitate, or perform in larger groups of more than 5 people, which then becomes the role of a Certified DNA Facilitator.

8.  Earn 35% commission income from selling the Foundation’s Products and 10% on initial referral commissions on Services provided by affiliates of the Foundation. This does not include “Hosting.”

9.  Earn income and charge a reasonable fee for Practitioner Services rendered to clients including: coaching, performing DNA Activations and DNA Seminars.

10.  Encourage potential clients to purchase and use the DNA book, DNA Activation Kits, articles, and research documents that you have on inventory or from OHi’s website.

11.  Abstain from being competitive with the other Foundation practitioners, products and services.

12.  To generate signed testimonials and copy such to the Foundation.

13.  Keep accurate records of any work performed on behalf and/or associated with the Foundation.

14. Award “DNA Activation Medal ” for each level of DNA Activation properly performed.?

15. Introductory Seminar Packets and Medals , which include Corporate seal, are purchased from the Foundation at $2 USD each per each person.

16.   Forward mailing addresses and occupation of clients activated in order to develop a “confidential” worldwide database (i.e., “client documentation”), or as otherwise negotiated.

17. Help propagate and market the expansion of the Foundations’ “Genetic Grid” mission, educational programs, and future material including the 5^th DNA and subsequent Activations.

18.  All retail Program materials shall be ordered from the Foundation, unless otherwise arranged. The Foundation will sell all educational products at a distributor wholesale discount of 35% to the Practitioner.? Vendor products discounts varies, and usually are discounted around 20 percent.

19. Practitioner shall reference, market and sell the products and services of the Foundation under the trade names, trademarks, and logos of the Foundation. Practitioner agrees not to reproduce any of the Foundation’s Products unless written permission is granted.

20.  Practitioner will report any changes suggested and keep current any information that pertains to the Foundation. No new or alternative generated information or materials related to the Program shall be used unless approved by the Foundation.

Oughten House Foundation, Inc., agrees to:

1.   Post Practitioner’s personal contact data on the OHi Website.

2.  Provide local leads, referrals, and support Practitioner within his/her local community.

3.   Provide business development opportunities as available.

4.  

Advertise Practitioner at National and International Conferences.

5.  Provide generic marketing and educational materials

6.   Research and disseminate new materials as available.

7.   Provide technical support about the Program and Client Support

8.  Promote and expand the Educational Programs and DNA Healing Project worldwide.

9.   Develop new educational programs and venues to further your competencies.

10. Provide professional resources as available.

Common Concerns:

1. Practitioner warrants and indemnifies Foundation of all encumbrances, judgments, liabilities, litigation’s, which the Practitioner has been or involved in or may be subject to in the future.

2. Foundation warrants and indemnifies Practitioner of all encumbrances, judgments, liabilities, litigation’s, which the Foundation has been involved in or may be subject to in the future.

3. The Foundation has the right to audit and monitor its programs without notice at its own expense.

4. Termination by either party provided a 15-day written notice is given. The Practitioner fully understands that in the event of termination or non-renewing annual certification, then the Practitioner will completely cease in the capacity of the Certified DNA Practitioner of the Foundation.

5. It is understood that any violation of the terms of this Agreement may be just cause for my immediate termination as a Certified DNA Practitioner by the Foundation, and is fully aware of the legal consequences of such a violation, including legal, attorney, and court fees.

6. The Remote Program Certification Fee of $300 USD includes initial Level (1) training, training materials, examination processes, e-mail correspondence, instructor participation, and 10 hours of Senior Instructor Coaching.

7. DNA Practitioner Certification requires annual renewal, additional in-service training requirements, and a reasonable renewable fee of $50 USD. Certification and renewal fees are non-refundable.

8. This agreement shall be construed and enforced according to the laws of the State of New York, in the United States of America.

This agreement can only be modified in writing and acceptance by both parities.

9. The Practitioner has read and fully understands all the above content items of this Agreement, and is prepared to sign below…

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Oughten House Foundation, Inc.

DNA Certified Facilitator Level 4 LICENSe

This Licensing Agreement is between Oughten House Foundation, Inc., a non-profit, tax exempt corporation with offices at Box 74, Binghamton, New York,? USA? 13903? (herein after known as the Licensor/Foundation) and

_____________________________ whose address is located at

________________________________________________________ (herein after known as the Facilitator ).

This Agreement proclaims that the DNA Certified Facilitator Level Four (4) named herein is an “Independent Subcontractor” of the Licensor. The Facilitator has “active” status and experience as a Certified DNA Practitioner of the Foundation; has successfully passed the required Remote or On-Campus Facilitator Training Program requirements, and has paid all fees.

The Facilitator has the license to host and facilitate only the Self-Empowerment Institute Programs listed below; and is eligible to be hired and properly compensated by the Foundation, an Affiliate organization and/or Host to perform such facilitations.)

?

Whereby,

The Licensor hereby grants the Facilitator the non-exclusive license to market and perform the following:

• DNA Activation Introductory Seminars

• FIRST, SECOND, THIRD, & FOURTH DNA Activation Seminars

• DNA Activation Experiential Techniques Training--DNA Course #1

• Living Life Positively and How It Is Done (Expansion & Rejuvenation Course)--DNA Course #2

All Training Courses for instruction and/or facilitation are herein known as the WORK EVENT, in conjunction with Licensor. Amendments to this Agreement will be used to add or delete WORK EVENTS.

The Facilitator understands that the WORK EVENT is the property and product of the Foundation and that each WORK EVENT reflects the integrity and name of the Foundation. Accordingly, the Facilitator must abide by the codes and procedures set forth by the Foundation.

This License does not pertain to the compensation arrangements for Facilitator assigned to teach classes that are generated and scheduled by the Foundation’s home office or any Affiliate Organization or Host. The following items constitute the full extent of the License Agreement:

On the part of the Facilitator:

1. Be compensated for delivering high quality standards for course content and learning.

2. Every PLANNED Work Event must be registered and posted by the Foundation at least 60 days prior to class date, unless otherwise agreed.

3.  Each WORK EVENT must have a value set for its tuition. The Facilitator is responsible for setting the tuition, based on the standards of living and economics of that region. The Foundation can advise Minimums and Maximums for tuition. The Foundation’s standard use in the UNITED STATES equates to approximately $95 per day of training, per participant. Facilitator may lower or surcharge this tuition based on projected higher expenses.

4. Guarantee participant’s satisfaction: when conducting the WORK EVENT, the Facilitator agrees to abide by the Ethics Policy, the Practitioner Certification Agreement, and other Foundation’s Policies.

5. The Facilitator agrees to pay a Program Fee of $450 which includes a one (1) time license set-up fee of $50 for all office administration activities, the SEEP Set-Up Kit, future updates of the SEEP, potential Facilitator assignments, referrals, leads generation, and initial posting on the INTERNET.

6. A Program Royalty Fee of 10% shall be paid to the Foundation for each WORK EVENT. Program Royalty Fees shall be paid based on GROSS Revenues prior to expenses.

7. Facilitator Guides: one Facilitator Guide must be purchased and used for each Work EVENT. Each seminar, workshop, course, and advanced course has an Facilitator Guide.

8. Facilitator Guides cost between $35-$75 and include all updates and future enhancements, overheads, and curriculum for the specific WORK EVENT. Only one Facilitator Guide is needed per WORK EVENT. It is highly recommended that the Facilitator become thoroughly familiar with each Facilitator Guide several months prior to facilitating the WORK EVENT (Seminar, Workshop, or Course).

9.   Facilitator pays own travel, diem, lodging, material reproduction, etc.

10. Course Participants must purchase all “Primary” educational and course material from the Foundation at the then current posted retail price. Foundation will sell all educational products at a wholesale discount of 35% to the Facilitator for resale at each WORK EVENT, if so required.

11. Any copyright material used shall be cited and the copyright source revealed and properly affixed on each page of the handout.

Any copyright infringements and/or judgments on the part of the Facilitator shall not liable or burden the Foundation.

12. Foreign Translations of training materials are subject to International Copyright Laws and remain the property of the Licensor. Fees for translation are subject to a separate contract.? Retail sales of translated materials are subject to a 15% Program Royalty Fee to the Foundation, however, all other proceeds from these materials go directly to the Facilitator.

13. All course materials shall be ordered from the Licensor, if so required.? Any new Facilitator generated materials related to the course shall be shared with the Licensor.? Facilitator as the option to market the products and services of the Licensor under the trade names, trademarks, and logos of the Licensor and not market any competitive products.

14. Maximum attendance for each is limited to a ratio of 16 participants for each Facilitator. Facilitator agrees to use an assistant(s) for larger groups based on the 16 participant rule, whenever possible.? Assistants must hold at least a DNA Practitioner’s Certification. Compensation for assistance is the sole discretion of the Facilitator.

15. On-site enrollments must be reported to the Foundation’s Center. Strict financial accountability must be honored by both parties of this Agreement. Facilitator agrees to use the Licensor’s Enrollment Forms supplied and to furnish a copy to the Foundation within three (3) days after the end of the WORK EVENT.

16. Facilitator has unlimited use to promote the educational products of the Licensor providing that the Facilitator remains in good standing and has renewed the Licensing Agreement.

17. Facilitator agrees not to reproduce any of the Foundation’s Products unless written permission is granted.

18. The Foundation has the right to audit and monitor its programs without notice at its own expense.

19. Termination by either party provided a 30-day written notice is given. The Facilitator fully understands that in the event of termination or non-renewing annual certification, then the Facilitator will completely cease in the capacity of the Certified DNA Facilitator of the Foundation.

20. It is understood that any violation of the terms of this Agreement may be just cause for Facilitator's immediate termination as a Certified DNA Facilitator by the Foundation, and he/she is fully aware of the legal consequences of such a violation, including legal, attorney, and court fees.

21. Facilitator warrants and indemnifies Licensor of all encumbrances, judgments, liabilities, litigation’s, which the Facilitator has been or involved in or may be subject to in the future.

On the part of the Licensor:

1. The Foundation will generate primary marketing information and advertising copy information and originals for the Facilitator to help launch the promotional campaign of the Facilitator including: flyers, brochure, and other media used by the Foundation.

2. The Licensor agrees to develop and generate state-of-the-art educational programs for sale, and to maintain the highest educational standards of their programs.

3. Diplomas of Completion stating the names, course titles, will be generated by the Foundation and mailed to the participant or returned to the Facilitator for Co-Signature and distribution. Certificates will be issued solely by the Licensor upon receipt of the completed Enrollment Forms and financial documentation. A $2 USD processing fee is required for each Certificate or Diploma issued by the Foundation.

4. The Foundation has the right to audit and monitor its programs without notice at its own expense.

5.   Licensor agrees to submit leads to the Facilitator within the Facilitator ’s established region.

6. Licensor warrants and indemnifies Facilitator of all encumbrances, judgments, liabilities, litigations, which the Licensor has been involved in or may be subject to in the future.

7. The Licensor will maintain a database of all attendees and records of all Facilitator educational programs presented and will share such information mutually with Facilitator s on a “Confidential basis only.”

8. This agreement shall be construed and enforced according to the laws of the State of New York.

This Agreement shall be automatically renewed annually unless terminated.? This agreement can only be modified in writing and acceptance by both parities.

(signatures)

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Price List & Profession Fee Schedule