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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:
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DNA
Certified Practitioner:
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Certified
Facilitator:
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Level
1
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Level
4
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Level
2
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Level
5
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Level
3
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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.
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: __________________________
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)
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Dates
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School
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Years
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Degree
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Major
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2. Metaphysical/Spiritual
Studies and Experience (add
separate sheet as needed)
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Dates
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Course
of Study
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Certificates/Diplomas/Awards
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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
____________________________________________________
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
_____________________
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Do Not write below this line -------------------------------------
Signed
Application
Signed Code of Ethics
Two Recent personal photos or E-mail jpegs
Signed Certification Agreement
Application Fee Paid $ ____
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__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
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.
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Do the
work as directed with Integrity and Love from your heart.
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Work only
with permission, always honoring Client’s free will and free
choice.
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Provide
honest and clear
representation of services, fees and results.
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Provide
only services within areas of competence and training as per
certification.
- Read
and Understand
the “Professional Standards for DNA Certified
Practitioners”.
CONDUCT
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Respect
the privacy of the individual and hold in confidence all client
information
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Honor the
position of Power, Trust, and Free Will
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Make
referrals whenever in the best interest of Clients
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Charge
reasonable fees and inform Client in advance of fees and payment
arrangements
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Do not
claim to heal or cure any illness, disease, or injury.
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Professional
conduct with client and during seminars sponsored and underwritten by
the Foundation is understood.
MISSION ALLEGIANCE
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Recruit
and activate heart-driven healers and others dedicated to the mission
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Teach the
DNA Healing Techniques worldwide
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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.
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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
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Maintain
integrity of Oughten House Foundation, Inc., and the DNA mission.
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Establish,
maintain, evolve,
and enforce the Foundation's procedures and guidelines
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Oversee
all practitioners
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Maintain
quality control of Facilitators/Practitioners and materials
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Coordinate
annual re-certification workshop/seminars
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Train
Facilitators and Practitioners
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Audit
Income and Expense
Reports
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Review
critique sheets on Instructors
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Coordinate
information in all multi-media resources
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Recruit
facilitators and
practitioners
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Oversee
distribution of all new information and changes to Certified
Practitioners
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Advocate
the
“Genetic Grid” and the DNA Activation process
worldwide
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Date ________________________
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Name: ______________________________ (Print)
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By _________________________________
(Intern’s
Signature)
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download pdf.
=========================================
Agreement of Ethical DNA Activations
Addressed to the General
Public
(Revised 30 June, 2006)
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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Date _____________________________
Name: ______________________________________ (Signed)
Name: ____________________________________ (Print)
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Date _____________________________
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By _____________________________________
(Representative of
Oughten House Foundation, Inc.)
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download pdf.
========================================
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.
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