APPLICATION

SOUL MEDICINE SOMATICS© FORMAL TRAINING APPLCATION

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Name *

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Country & area of residence *

Email *

Phone number inc country code *

Age *

With what gender if any do you indentify? *

Do you have any prior training that you feel is relevant? If yes please note briefly below and upload any supporting documentation you may already have. Please note that prior training is not a prerequisite. *

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Do you currently work and if so in what field? *

Why are you interested to attend this training? *

Please tell us a little (summarise) about your personal journey to date *

What is your understanding of your own trauma/wounds? *

What (if any) therapeutic process have you been through? *

What experience (if any) do you have of movement/breath/meditation? *

What (if any) spiritual process have you had to date? *

Do you have any relevant past or ongoing medical issues that you feel it be may relevant to mention or that may inhibit your capacity to train or practice in any way? *

Do you have any formal mental health diagnoses or struggle with any ongoing issues such as anxiety, depression or active addictions including eating disorders? *

Do you have present any nuerodiveristy or have any learning difficulties? *

Is there anything else that you feel is pertinent that you would like to share with us? *

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SOUL MEDICINE SOMATICS© FORMAL TRAINING APPLCATION