Guides for Good - Apply to our Program
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Full Name
(Required)
Please enter information of the nominator.
First
Last
Location
(Required)
Please enter information of the nominator.
City
State / Province / Region
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Languages Spoken
Please enter information of the nominator.
English
Mandarin Chinese
Spanish
French
German
Dutch
Hindi
Other
Other
You selected "Other" in the previous step. Please use the field below to provide additional information.
Email Address
(Required)
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Enter Email
Confirm Email
Phone Number
(Required)
Please add your country code and phone number.
Relationship to Nominee
Please enter information of the nominator.
Full Name
(Required)
Please enter information for the nominee.
First
Last
Location
(Required)
Please enter information for the nominee.
City
State / Province / Region
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Languages Spoken
English
Mandarin Chinese
Spanish
French
German
Dutch
Hindi
Other
Please enter information for the nominee.
Other
You selected "Other" in the previous step. Please use the field below to provide additional information.
Contact Email
(Required)
Please enter information for the nominee.
Enter Email
Confirm Email
Phone Number
(Required)
Please add your country code and phone number.
Wellness Support Request
What type of holistic support is the nominee interested in? (Select all that apply)
(Required)
Acupuncture
Akashic Records
Aromatherapy
Ayurveda
Astrology
Balneotherapy
Biofield Tuning
Breathwork
Cold Therapy
Craniosacral Therapy
Crystal Healing
Cupping
Electromagnetic Therapy
Electroacupuncture
Emotional Freedom Technique
Energy Healing
Equine Therapy
Feng Shui
Forest Bathing
Flower Essence Therapy
Homeopathy
Hypnosis
Massage Therapy
Meditation
Mediumship
Myofascial Release
Moxibustion
Naturopathy
NeuroGraphography
Numerology
Oracle Cards
Osteopathy
Past Life Regression
Pilates
Pranic Healing
QHHT
Qigong
Reflexology
Reiki
Sauna
Shamanic Healing
Somatic Therapy
Sound Healing
Space Clearing
Spiritual Counseling
Tai Chi
Tarot Cards
Thalassotherapy
Theta Healing
Traditional Chinese Medicine
Tui Na
Vedic Astrology
Yoga
Other
Other
You selected "Other" in the previous step. Please specify without mentioning specific health conditions in the field below.
Has the nominee explored any holistic services before? (Select all that apply)
(Required)
Acupuncture
Akashic Records
Aromatherapy
Ayurveda
Astrology
Balneotherapy
Biofield Tuning
Breathwork
Cold Therapy
Craniosacral Therapy
Crystal Healing
Cupping
Electromagnetic Therapy
Electroacupuncture
Emotional Freedom Technique
Energy Healing
Equine Therapy
Feng Shui
Forest Bathing
Flower Essence Therapy
Homeopathy
Hypnosis
Massage Therapy
Meditation
Mediumship
Myofascial Release
Moxibustion
Naturopathy
NeuroGraphography
Numerology
Oracle Cards
Osteopathy
Past Life Regression
Pilates
Pranic Healing
QHHT
Qigong
Reflexology
Reiki
Sauna
Shamanic Healing
Somatic Therapy
Sound Healing
Space Clearing
Spiritual Counseling
Tai Chi
Tarot Cards
Thalassotherapy
Theta Healing
Traditional Chinese Medicine
Tui Na
Vedic Astrology
Yoga
None of the above
Other
Other
You selected "Other" in the previous step. Please specify without mentioning specific health conditions in the field below.
In general terms, how do you think holistic support could benefit the nominee's overall well-being?
Has the nominee encountered any general obstacles in accessing holistic services? If yes, please explain briefly:
Nomination Rationale
Why are you nominating this individual for the Guides for Good program?
How do you believe this program could make a positive impact on the nominee's life?
Additional Information
How did you learn about the Guides for Good program?
Is there any additional information you'd like to share about the nominee or their circumstances?
Consent and Agreement
(Required)
I confirm that I have obtained the nominee's permission to submit this application on their behalf.
I confirm that all information provided is true and accurate to the best of my knowledge.
I understand that submitting this nomination does not guarantee acceptance into the program.
I agree that the Guides for Good team may contact both myself and the nominee regarding this application.
I understand that this program is not a substitute for professional medical advice, diagnosis, or treatment.
Email
This field is for validation purposes and should be left unchanged.
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