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By requesting the training, and certification as a Certified Consilium® Practitioner (Financial), I understand: The Consilium ® Institute teaches, certifies and advocates for the philosophical process and structure of Consilium, in which trained advisors assist clients through a proprietary, integrated, systematic legal/financial/psychologically-based advising strategy, but the Institute cannot and does not guarantee outcomes.

1. In what states are you currently licensed and in good standing? Please provide your registration number.
If yes, please explain the date, nature, and resolution of the complaint or alleged infraction:
Name of Institution, Year of Graduation, Degree Earned, Major/Minor/Concentration, Graduate Degree
If accepted the $500 will be applied to your membership upgrade. If your application is not accepted, your $500 deposit will be refunded.

Thank You

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