Comprehensive Training Application Form

Please take your time to fill out this application thoroughly. It is an important way for our team to get to know you, so more detail is better than less. We will follow up with a confirmation email within 48 hours.
Thank you!

Please take a few moments to read the information sheet and fill out our registration form. We will follow up with a confirmation email within 48 hours.
Thank you!

Legal First Name *
Legal Last Name *
Preferred Name
Pronouns
Date of Birth *
Address, including country *
Email Address *
Phone Number *
Emergency contact information *
Please attach a photo where your face is visible. *
Maximum file size: 5 MB
Accepted formats: .JPG,.JPEG, .PNG
Please attach your CV or resume *
Maximum file size: 5 MB
Accepted formats: .PDF
Which training module are you applying for? *
PLEASE DESCRIBE YOUR PREVIOUS HAKOMI EXPERIENCE (WORKSHOP, CLASS, TRAINING, ETC). INCLUDE THE NAMES OF THE TEACHERS AND/OR TRAINERS YOU STUDIED WITH AND THE TITLES AND DATES OF ALL EVENTS YOU ATTENDED. *
Why are you interested in this training? *
Please share with us anything you'd like us to know about your aspiration or vision for applying the Hakomi Method? How does Hakomi fit with your career plans and life goals? *
What is your highest level of education?  *
Do you have any relevant licenses or certifications? *
What is your current professional situation? Do you have experience in the helping professions? Describe your experience working with individual clients in private sessions, if applicable (e.g. type of clientele and approaches/modalities used) *
HAVE YOU EVER BEEN A CLIENT IN INDIVIDUAL OR GROUP PSYCHOTHERAPY? IF YES, CAN YOU TELL US MORE? *
(type of approach, duration, and your experience with it)
HAVE YOU EVER WORKED WITH A HAKOMI-TRAINED THERAPIST OR PRACTITIONER?  *
Are there any other experiences you have had in the field of personal growth that you would like to share with us? *
WHAT ARE YOUR STRENGTHS AS A GROUP MEMBER? WHAT ABOUT YOUR AREAS OF WEAKNESS? *
Anything else you want to tell us about yourself? *

OUR GIFT FOR YOU

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You will receive the video of a Hakomi Mallorca workshop with Julia Corley and Valentina Iadeluca, that includes live commentary on a recorded session offered by one of Hakomi’s founder and Hakomi Mallorca’s Founder and Faculty Member Halko Weiss!