. : | Welcome to Academy of Potential Education - Online application to become a licensed E Rejuvenation Presenter

Online application to become a licensed E Rejuvenation Presenter

Step 1 > Step 2 > Step 3

Name
Date of Birth
Email Address
Address
Country of Residence

Nationality (Upload signed copy of passport or other photo ID)

What type of license are you applying for?

Provisional Licence to Practise

Full Licence to Practise

Training Licence

Highest E Rejuvenation qualification

E Rejuvenation Presenter Certificate Level 3	Diploma in Life Consultancy
Diploma in Advanced Life Technology	Diploma in Life Technology

Date of Qualification

How many hours continuing professional development have you done
in the last 12 months?

Number of Hours

Please attach evidence of 50 hours (not required for a new provisional licence)

Have you completed a minimum of 100 hours teaching/leading E Rejuvenation or equivalent in the last 12 months?

Yes

Please attach evidence (not required for a new provisional licence)

I have read the Code of Practice and accept its terms.

Fee
NZ$268 per year, payable by Paypal or credit card. If you are unable to pay by either of these methods please contact the Academy for an alternative.

Contact

	New Zealand
	United Kingdom