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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:

	DNA Certified Practitioner:		Certified Facilitator:
	Level 1		Level 4
	Level 2		Level 5
	Level 3

Note: candidates for levels 2 and above only need to report changes to pre-existing file. A new photo is required for each updated application.

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)

Dates

School

Years

Degree

Major

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

Dates

Course of Study

Certificates/Diplomas/Awards

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

________________________________________________________________

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)

Left Front View??????????????????????????????????????????????????????????? & Right Front View

Note: Applicants applying into the DNA Certified Facilitator Program must provide substantial information for items #10 & #11 below. Use additional sheet as necessary.

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

__________________________________________________________

Date_______________________Reviewed by:____________________________________

Application Action:
Accept
Not Accepted
Conditional
Acknowledgment Sent

download pdf.

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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

Date ________________________

Name: ______________________________ (Print)

By _________________________________

(Intern’s Signature)

download pdf.

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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.

Signatures

Date _____________________________

Name: ______________________________________ (Signed)

Name: ____________________________________ (Print)

Date _____________________________

By _____________________________________

(Representative of
Oughten House Foundation, Inc.)

download pdf.

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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

to mutually satisfy both Practitioner and the Foundation.

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.