ARCHETYPAL SOMATIC PRACTICE -APPLICATION FORM

This intake form is to ensure this program is resourcing for you. We are taking care to ensure that what is being offered aligns with your current needs and expectations, and that the content offered meets your expectations of what you hope get out of the program.

Please note: This program is intended for participants who have engaged in extensive personal healing and therapeutic work and are well-resourced emotionally and psychologically to be able to stay steady exploring depths in their psyche and soma while being in connected and compassionate relationship with other participants. This is not a program focused on nervous system theory but a sound understanding of nervous system theory is important. In terms of occupation or professional practice, this training is intended for people who have personally engaged in depth based psychological work and/or in therapeutic practice that goes beyond the physical body including beyond nervous system work. This is not a training intended for movement teachers who have not engaged in longer term deeper psychological work in a structured therapeutic setting.
**While this program is not designed to be a primarily trauma oriented program, we will occasionally discuss the impact of trauma through a depth psychology and spiritual injury 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 Archetypal Somatic Practice??

I understand this is not a trauma recovery program nor is this program focused on somatic and nervous system education or theory. This program is not for people living with high levels of dysregulation or emotional overwhelm.

Please check the box

I am well resourced outside of this training program via therapeutic and community support that I can turn to if I become emotionally overwhelmed.

If you do not feel this is the case for you, this program is not suitable for you at this time.

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-centered 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 previously engaged with that prepares you to explore depth and complexity in your psyche and your body? Please include length of time and nature of work.

What are you hoping to get out of the training? What are your 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?

Please share anything else about yourself that you feel is important for us to know in assessing whether or not this program is suitable for you.