Hakomi Character Training

Registration Form

Early Registration: December 15, 2025

Final Registration: February 1, 2026

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 / Region *

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")

Do you have any Hakomi designations? (select all that apply) *

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. *

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

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. *

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

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.

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 $3495. The maximum scholarship amount available for those in greatest need is $1495. The online-only tuition is $2,295 with a maximum scholarship amount of $895 available.

Registration Deposit and Acknowledgments

Please select the item below. *

Hakomi Character Training: Deposit

This deposit must be paid to complete your registration. If for any reason, you do not meet the prerequisites for this program, it will be refunded to you in full.

$500

Remaining Tuition Payments

An invoice for your remaining tuition will be emailed to you after your registration is confirmed and processed.

Please select from the following participation options: *

I would like to register for the full training (online modules plus two in-person immersions).

I would like to register for the online-only modules (recordings of the in-person immersions will not be available).

Please select one of the following payment plan options: *

I will pay my balance due by January 28, 2026

I will pay my balance due in 2 equal payments on the first of the month (February and March 2026). A processing fee of $15 will be added to each payment.

Please acknowledge the following statement:

I confirm that I have reviewed the cancellation policy and liability waver for this live event and hereby consent to its terms.