Application

Feldenkrais® Southern California

MOVEMENT INSTITUTE

Application

feldmoves@aol.com

The Feldenkrais Southern California Movement Institute, Inc.

Feldenkrais Professional Training Program

Application/ Questionnaire

All fields must be completed with the exception of the address 2 field.

Personal/ Contact Information

Program
First Name	Last Name
Address 1
Address 2
City		State		Zip/Postal Code
Country
Phone			Email
Birthdate	mm/dd/yyyy //

Profession

Educational Background

List last grade or level of education competed: 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 as they pertain to the training program.

Previous Background in the Feldenkrais Method

List Awareness Through Movement and Funtional Integration workshops attended, practitioners worked with and/or related books and articles read.

List 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.

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 are required. These letters need not come from Feldenkrais teachers.

Please indicate how you will be sending these. attachments in email letters sent by standard mail

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 RMI at (760) 436-9087 or email at feldmoves@aol.com 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®.

Send mail to cskoog@lanset.com with questions or comments about this web site. Copyright © 2001 Feldenkrais Southern California Movement Institute

Send mail to cskoog@lanset.com with questions or comments about this web site.
Copyright © 2001 Feldenkrais Southern California Movement Institute