Application for the somatic study, ritual and embodiment mentorship year circle 2025/26
Please fill out this form if you would like to join this program. Some is practical information, some questions you can answer straight from your heart, you don't have to write a perfect essay - those are marked with ❤️ I will send you a response if your application was accepted within a week!
Sign in to Google to save your progress. Learn more
Email *
Name *
E-Mail *
Date of birth *
MM
/
DD
/
YYYY
Where do you live? (important because of time zone)
What's your profession? Do you spend your week at an office/school/institution or do you work from home or artist space?  do you have flexible days or a regular schedule? 
Have we already worked together? 
Clear selection
What is your intention for joining this circle? How can it support your life? ❤️ *
Do you already have experience with somatic work? Please share about therapies received, schools or studies that you are/have been involved with!
Do you have experience with being in women's circles? (do you have participated, organized & guided yourself, do you have a regular circle, or have you never been in one?) If yes, what do you love about it? If no what would you imagine about it? ❤️
Have you ever worked with psychological modalities? (e.g. psychotherapy) if yes, please specify when and which modality.
Have you ever been medicated for depression or are you currently taking medication? if yes, please specify when and which medication.
Payment options. Once your application is accepted, you will be asked to make a deposit of (at least) 177EUR to confirm your commitment to this circle. Thereafter you have the following options:
Clear selection
I herewith confirm that I feel in my heart to join this program, that I feel curiosity to learn and open new perspectives and that I am willing to participate in this circle of sisters ❤️
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms