apply to join the program

Welcome, I’m so glad you are interested in The Lively Center training program. I’m curious to get to know you better. Please fill out the application questions below:

The name you like to be called

First Name

Last Name

Pronouns

Phone

(###)

###

####

Are you able to attend all six sessions?

Clinical Registration/Licensure

What draws you to this program?

Please share about your curiosity, longings, hopes, yearning, needs that bring you to this application

Your Experience in Embodiment Arts, Somatic Approaches

Please share a little about your background in these areas

Your Experience/Background in Social Justice/Anti-Oppressive Praxis

Please share a little about your previous training or experiential learning in these areas, and your orientation to or understanding of this work

Your current and/or historical relationship with Earth

Please share a little about your current and/or historical experience of your relations with Earth

Any Accessibility Needs/Requirements

Please share a little about any accessibility threads that are important in shaping a viable and nourishing learning context for you

Your Social Location

Please share a little about your social location, whatever you are willing to share - such as, your gender identity, racial location, age, languages, dis/abilities, cultural contexts, ethnicity, sexual orientation, neurodivergence neurotypes etc.

Your Current comfort level in groups

Please share a little about your current feelings of comfort or discomfort regarding being in groups; is this relatively easeful, stressful, somewhere in between? Perhaps share a little about your hopes and fears about being in this training group.

Anything Else You'd Like me to know

please share in brief, anything else that may have relevance to your participation