Hakomi-Informed Coaching Application

APPLICATIONS ARE NOW CLOSED.

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Do you identify as any of the following? (check all that apply)

Please share any other important ways you identify.

Embodywise is dedicated to fostering a diverse, equitable, and inclusive learning environment. Please explore our commitments to DEI on our website.

Contact Information

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Address

Address *

City *

State / Province / Region *

Country *

Postal code *

Professional Information

What is your current profession?

Briefly describe the extent of your coaching experience, including length of practice and clientele you work with. *

Do you have any Hakomi designations? *

Are there any additional Hakomi experiences not listed above? Please provide Hakomi teachers and trainers you've studied with.

Why do you want to take this training, and how will you use it in your work? *

Embodywise and Hakomi Institute do not support or endorse any illegal use of psychedelics. Please review the position of Hakomi Institute on psychedelic assisted psychotherapy.

Participant Confirmation *

I have reviewed the link above and confirm that the knowledge and practices gained in this training will not be used to support the illegal use of psychedelics.

Learning Goals and Needs

How do you hope this training will benefit you professionally and personally? *

Is there anything you would like us to know about how we can make your learning experience most beneficial? Do you have any special needs we can accommodate? *

Are you able to make all the training dates listed? If not, please list dates and times you will be absent. *

Scholarship Form

We are committed to making our training available to underrepresented groups such as People of the Global Majority, LGBTQIA+, military service members, veterans, first responders, persons with disabilities, and those experiencing economic marginalization.

As a nonprofit, we have a limited amount of scholarships available. We respectfully ask for your transparency in completing the scholarship questions. Our goal is to make our programs as accessible and equitable as possible while stewarding the financial health of our organization. Scholarship amounts are based on the regular registration price, not the early registration price.

Are you experiencing financial hardship?

Please select all of the following that apply to your current financial situation.

Please provide any more context on your selections above that would be helpful for us to know.

Do you primarily serve historical underserved or disadvantaged populations?

Please select all of the following populations that you primarily serve.

Please provide any more context on your selections above that would be helpful for us to know.

Please provide the approximate number of clients you serve each year. This will help us communicate the impact of our programs and scholarships to donors.

Please share any other extenuating circumstances we should be aware of.

Please share what tuition amount you are able to pay, keeping in mind that payment plans are available.

Full tuition is $2,500. The maximum scholarship amount available for those in greatest need is $1,000.

Application Fee and Submission

Please select the item below. *

Coaching: Application Fee

This fee is required to submit your application.

$75