Course application

Terms and Conditions

By filling out this form, you agree that SennovPartners and the relevant Aura Mediator Instructors will store your contact details, photo and the personal information you’ve added to the form for as long as it takes us to decide if you can participate in the Aura Mediator Course that you applied for. The information is exclusively used for this purpose.
If you are accepted for the course, we will keep the information for a maximum of two years after you joined the course. If you are not accepted, we will delete all information immediately.

Mandatory fields are marked with *
Select a course*
- I would like to participate in the next Aura Mediator Course in the UK in 2021
- I would like to participate in the next Aura Mediator Course in California, USA
From whom and when did you get your AuraTransformation™?*
Where did you hear about the Aura Mediator Course?
Write a short text about yourself including why you want to become an Aura Mediator™*
Attach a recent taken photo (jpg, gif, jpeg, png, max. 1MB)*
Accepted file types: jpg, gif, jpeg, png, Max. file size: 128 MB.
First name*
Last name*
Address*
Postal code*
City*
Telephone*
Email*
Enter email Confirm email
Website (if you have one)