CREATIVE BODY PRACTITIONER - APPLICATION FORM

This intake form is to ensure this program is resourcing for you and that what you’re hoping to get out of the program meets with what is being offered in the program.

Please note: This program is intended for participants who have engaged in extensive personal healing and therapeutic work, are well resourced emotionally and psychologically to be able to stay steady exploring depths in their psyche and soma and be in connected and compassionate relationship with other participants. In terms of occupation or professional practice, this training is intended for people who want to source a deeper connection with creativity and embodied faith in their lives and with others in their work: coaches, therapists, leaders, teachers, activists, performers, writers who are interested in opening up greater awe and wonder if their lives.
**This is not intended to serve as a trauma recovery program, is not focused primarily focused on collective or personal trauma. With that being said, will spend part of the program exploring trauma through a somatic depth psychology lens. An integrated and foundational understanding of the autonomic nervous system and neurobiology is required so that we can move beyond nervous system discourse and theory to focus on deeper explorations together.

Name

First Name

Last Name

Pronouns (if you choose to share them)

What is the nature of the work, environment or professional practice that you wish to integrate the Creative Body Practitioner learnings??

I understand this program is not designed to be a primarily trauma oriented program and that we will occasionally discuss the impact of trauma through a depth psychology and spiritual injury lens and that this program does not include content addressing collective trauma. I understand this program is not for people living with high levels of dysregulation or emotional overwhelm and that participation requires a capacity to explore topics that might require me to seek outside support including therapy or counselling..

Please check the box

Please describe the nature of any depth psychology based or Jungian work you have engaged with personally or professionally and duration of time.

How would you describe your current capacity to stay in a connected and heart centred space in relationship to other practitioners in an online training program? This includes how you currently deal with discomfort or conflict in relationship to others in group spaces.

What type of personal therapeutic or healing work have you engaged with in the past in terms of length of time and nature of work that prepares you to explore depth and complexity in your psyche and your body:?

What are you hoping to get out of the training in terms of specific expectations of what participation is going to offer you in your professional practice and your work with others?

Have you completed either the Movement for Trauma program level one or the Foundations program? If not, what education have you engaged in to create a foundation of understanding about the nervous system so that you will not be needing this educational guidance in this program?