Le Monde Nouveau

The Sanctuary of the Living Spirit/ Le Monde Nouveau Application for Membership

PLEASE COMPLETE IN BLOCK CAPITAL LETTERS (Printable version)

Title Mr. Mrs. Miss. Other..........................................................................
Surname.................................................Forename..............................
Herby apply for admission to membership of The Sanctuary of the Living Spirit/ Le Monde Nouveau

Signature.................................................Date.................................................................
Address...........................................................................................................................
...........................................................Post code.............................................................
Telephone No (inc STD)...............................................Mobile.....................................
Email.....................................................DOB.................................................................

STATUS DEFINITION
Please circle the definition in which you wish to join under:

A. Professional Medium/Psychic (livelihood solely derived from the practice of mediumship)
B. Semi Professional Medium/Psychic (one who accepts fees, and has other source of income)
C. Non Professional Medium/Psychic (one who practices mediumship, but does not accept fees)
D. Healer (one who practices spiritual healing and is registered with relevant bodies)
E. Counsellor (one who practices counselling and is registered with relevant bodies)
F. Public Speaker (one who engages in public speaking for Spiritualism)
G.Therapist H. Associate ( one who supports the aims and objectives of The Sanctuary of the Living Spirit and Le Monde Nouveau)


Please state when and with what organization you achieved your qualifications as Medium/Psychic, Healer, Consellor, Demostrator, Therapist or Tutor.

Date of Qualification...........................................................................................
Organization....................................................................................................
Please enclose a copy of your certificate or other evidence of qualifications.
What is the reason that you wish to join The Spiritual Sanctuary / Le Monde Nouveau................................................................................................................
..............................................................................................................................
..............................................................................................................................
How would you best describe your Mediumistic/Psychic abilities? Please circle one or more of the following
Clairvoyant Clairaudient Sensitive Mental-mediumship Trance Physical Transfiguration Psychic Psychic-artist Healer Other.................................................................................
Are you already doing public work, please circle Yes No
If Yes When................................................................................................
And Where................................................................................................
Have you tutored or instructed others? Please circle
Not yet-In home circle-Development group-Church circle-Open circle-Public meeting Spiritual centre/church/sanctuary-Psychic centre/sanctuary-National International Other............................................................................................................
Have you held a post within any spiritual/psychic organisation, please circle
President-Vice President-General secretary-Treasurer-Secretary-Education officer- Chair person-Committee member-Other
Have you any abilities that may be helpful to The Spiritual Sanctuary / Le Monde Nouveau please circle.
Accountancy-Legal Organising-events/meetings-Auditing-Media-IT skills-Fund raising
General admin-Other.
The Executive may wish to take up references, please supply the names and addresses of two people they may contact.

A................................................................................................................

B...............................................................................................................

We thank you for considering membership of The Sanctuary of the Living Spirit / Le Monde Nouveau. All our helpers give their time willingly and freely, which we always appreciate. We run seminars and workshops in the aim to promote the teachings and philosophy of the Living Spirit
The annual membership fee is UK £25.00, Concessionary £20.00. Europe £ 25.00. Rest of the world £ 30.00 per person. Please make cheques or postal orders payable (in sterling) to Le Monde Nouveau
Concessionary membership is available to applicants over 60 years or more, or those in receipt of DHSS benefits (proof required) Students (proof required). UK only. Membership gives discount on entrance fee-20% off tickets for special events.
Thank you for taking the time to complete this form, your membership application will be considered at the next Executive committee meeting, you will be notified of the outcome as soon as possible.

DECLARATION
I have never been refused membership for any organisation
I do not know of any circumstances, which may affect my application e.g. chronic health problems, criminal record?
I declare that the information given on this form is true and that I agree to abide by the aims and objectives/principles of The Sanctuary of The Living Spirit / Le Monde Nouveau.

Signed.................................................................Date......................................

If you have any queries, telephone Le Monde Nouveau 0170 8-38 7580 (local Rate)
07939-621156
The Sanctuary of the Living Spirit /Le Monde Nouveau reserves the right to refuse your application without giving reason.

AIMS
The aims of The Sanctuary of the Living Spirit is to provide a sanctuary of spiritual Demonstrators/channels, who are able to demonstrate spiritual/psychic gifts, spiritual healers, public speakers who can provide the spiritual philosophy and the mechanics of the living spirit, and those who sympathise with, and support aims and objectives of the sanctuary.

OBJECTIVES
The advancement of the philosophy of the Living Spirit, the teaching and training of prospective workers in the principles of the philosophy of the Living Spirit

ELIGIBILITY FOR MEMBERSHIP
Full membership is open to: -
All - irrespective of their affiliation to or membership of any spiritualist organisation.
All public speakers for psychic/spiritual science.
Those who practice spiritual healing
Associate membership is open to all adults (over 18) who sympathises with the aims and objectives of The Sanctuary/Le Monde Nouveau.
Applicants 16-18 years of age will be considered if endorsed in writing by parent/guardian
The Executive shall finally determine classification for Sanctuary purposes; membership alone does not entitle members to use the letters ARC after their name.

Tel 07939-621156
Email: LeMondeNouveau@live.co.uk
www.LeMondeNouveau.co.uk

NO CLAIMS DECLERATION
Please circle the answers to the questions below
1. Have you under current or previous trading titles been convicted of any criminal offence, other than motoring, or are there any prosecutions pending? Yes / No
2. Has any insurer ever cancelled, declined or refused to renew, or accepted the risk, at special
Terms? Yes / No
3. Have you had any claims, or incidents, which could give rise to claim under the policy
Involving negligence, error or omission, or are you aware of any circumstances which may revert to such a claim or suit being made against you? Yes / No

If the answer is yes to any of the above questions, send us the information on a separate sheet of paper, giving full details.

I confirm that the answers above are true and that I have not withheld any material fact. I am aware of no claims, suits or any circumstances which could reasonably lead to a claim being made, or action initiated against me and that I have read and understood the notes above.

Signed......................................................................Date................................................
Title................Surname.........................................Forename..........................................
Address............................................................................................................................
.........................................................................................................................................
Phone number (inc STD)............................................Mobile.........................................
Email address..................................................................................................................

You can return application form in person or email, payment either by Paypal, Cheque Postal Order made payable to Le Monde Nouveau or by cash. Payment has to be made at time of application. If applying for concessionary membership proof will be required for entitlement (If membership should be refused payment will be returned in full).