Hakomi Professional Skills Training
Level 1 Application

Early Application: July 20, 2025

Final Application: September 12, 2025

Final Registration: September 26, 2025

If you live outside the California/Nevada/Arizona area, there are additional Hakomi Regions that may offer training programs in your area. We encourage you to check to see if there is a training program available in your region: Hakomi Institute Training Centers.

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

Address

Address *

City *

State / Province *

Country *

Postal code *

Professional Information

What is your current profession?

Linkedin Profile Link *

Education Degrees (include dates and institutions) *

What is your license number and state, as it needs to appear on a CE certificate? (i.e. "LMFT 12345 CA") *

Briefly describe the extent of your clinical experience, including length of practice, clientele, areas of expertise, and theoretical orientation. If you are an intern, please indicate your years of experience and placement sites. *

If you're a CIIS Hakomi graduate, please provide the name of your instructor and year completed to be eligible for the discount.

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

Share any other experiential psychotherapy methods you've learned. *

Share any other work history not listed above. *

Learning Goals and Needs

Why do you want to take this training, and how will you use it in your work? Please note any special populations you work with. *

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

When you get emotionally challenged or triggered, how do you resource yourself? What kind of feedback have you received from others in emotionally challenged or triggered situations? *

What is your experience in group learning environments? Any challenges we should be aware of? *

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

To receive a certificate of completion, 80% attendance is required.

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? *

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.

Do you want to apply for a scholarship? *

Yes

No

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.

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 $3,995. The maximum scholarship amount available for those in greatest need is 50%.

Clinical References

Please provide the names, emails, and phone numbers of two clinical references below. Upon submitting this application, you'll receive an email with a link to submit two reference letters. Your application cannot be reviewed until these are received.

Each letter should include: 1.) How they know you; 2.) Your level of emotional responsibility (i.e., ability to be mindful of and accountable for one's emotional state); 3.) How well you accept feedback; 4.) Your level of clinical ability; 5.) How you function in a group learning situation; 6.) At least two of your strengths and potential weaknesses.

Reference Details #1 *

Reference Details #2 *

Application Fee and Submission

Please select the item below. *

Hakomi Pro 1: Application Fee

This fee is required to submit your application.

$75