Please Print This Application Complete and Return to Our Office
The Reese Movement Institute, Inc.
Southern California,
San Diego Feldenkrais® Professional Training Program
Application Questionnaire
Please type or print clearly in black ink.
Use the back of the page if you need additional room to answer any of the questions.
Name _______________________________
Address _______________________________
Telephone(Home) (Business)
Profession __________________________
Educational Background
List last grade or level of education completed: college degrees, majors and minors, any non-academic educational programs, seminars, any self-taught skills, etc.
Financial Statement
In paragraph form, indicate how you financially support yourself, what your financial goals are for the future and how the cost of this program will be budgeted or financed.
Personal and Professional Goals
In paragraph form, describe your personal and professional goals for joining the program.
Previous Background in the Feldenkrais Method
List Awareness Through Movement® and Functional Integration® workshops attended, practitioners worked with and/or related books and articles read.
Prior or current applications made to Feldenkrais Professional Training Programs and reasons for application rejection (if applicable).
Hobbies and Interests
List hobbies and interests, indicating whether they are past or current and length of your involvement.
Please complete this application and return to our office as soon as possible.
Please include with the application:
1) Three letters of recommendation from persons who are unrelated to you and who know your strengths and weaknesses, work habits, your ability to carry the training program to completion and other qualities important not only for being a Feldenkrais Practitioner but for being a student in an intensive training program. These letters need not come from Feldenkrais teachers.
2) A $50 application fee (check made payable to the Reese Movement Institute, Inc.), non-refundable, applicable towards tuition.
Please send completed application with enclosures to the:
Feldenkrais Southern California Movement Institute, Inc.
PO Box 1300 • Cardiff by the Sea, CA, 92007.
Please call the Movement Institute at (760) 436-9087 if you have any questions.
Please note: Training programs are subject to cancellation as a result of insufficient enrollment, teacher availability and/or location availability. In the case of instructor and or location change, applicants will be notified 30 days in advance. Training programs are subject to cancellation with 30 days advance notice.
The Reese Movement Institute, Inc. does not guarantee that graduates of the training program will be able to practice in states or countries where local laws, licenses and regulations may stipulate additional specific requirements.
Feldenkrais®, Functional Integration® and Awareness Through Movement® are registered service marks of The FELDENKRAIS GUILD®.