First Name

Last Name

Email *

Phone *

Date of birth

Please explain “why” you want to become a Tepe Facilitator?

Tell us about any training you have had that would support you in facilitation.

Tell us about plant medicine have you worked with before? How many ceremonies have you participated in and where?

How have you been “in service” in your life?

Do you have any physical or mental health issues we should be aware of? Please share any family history of physical and mental illness?

Are you willing to invest into yourself in becoming a Facilitator? ( time, energy and money)

What is your intention for becoming a Tepe Facilitator?

Please share any details of what it takes to be a Tepe Facilitator.. What support would you desire along the way?

Share your experience with Tepe. What was your hardest ceremony? What was your best ceremony?

If you could give this medicine to anyone, who and why?

How has this medicine impacted your life?

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