UTERA IMMERSION APPLICATION

Utera Immersion Application

Please complete the APPLICATION below.

Potential applicants will be contacted to schedule a 15-minute intake call with Jaguar Womban.

Name/Nombre

First Name

Last Name

Email/Correo Electrónico

Phone number/Número de Teléfono

Country

(###)

###

####

Have you worked with Jaguar Womban before in TEAsession or Circle of Light WombSteam Ceremony? Please share how you are familiar with Jaguar’s work

Please talk to me about your relationship with the plants and plant medicine.

Where did you hear about this Apprenticeship program?

Do you currently have a WombSteam practice?

Are you a WombNation Member

Which timezone are you primarily located in?

This is a transformative medicine practice that can create powerful shifts. Please briefly share any relevant details of your mental health history and experience with depressive episodes, anxiety, hospitalization and your path to psychological balance.

Are you currently taking any medication?

Are you supported by a mental health professional?

Yes

Do you have a personal spiritual practice or community support? Can you tell me about it?

What are your intentions for doing this apprenticeship program?

Can you commit to ALL monthly group gatherings as indicated between December and March? (12/23, 1/25, 2/25, 3/24)

Yes

Do you have a guru, or main spiritual teacher that you follow?

Do you have prior travel experience?

Have you visited Mexico before?

What is your level of fluency in Spanish?

Are you resourced to cover a $3,333 exchange to cover the cost of teaching and supplies?

This excludes air travel to Oaxaca

Yes

Are you in a financial space to support another sister who would like to go on this journey but does not have the resources to do so?

Yes

Is there anything else you want to share?