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Providers

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Training Schedules

Please fill out the Training Schedule form below if you would like to have a class, workshop or introduction posted to the website. Make sure to fill out the items with asterisks as they are required.

NOTE: If information is currently unknown, please enter TBA in the required field.

Thank you, Somatic Experiencing Trauma Institute

NEW TRAINING SCHEDULE FORM
(*Items with asterisks are required -- This form will not process without completing required items.)

*Your Name:

Coordinator Instructor (check one)

*Your Email:

*Date Range

Month	Day	Year

Month	Day	Year

* leave 2nd date blank on 1 day classes

Location:

*Facility:
*Address:
	*City	*State

	*Postal Code	*Country

*Phone:
Website:

*Level:

Beginning I

Beginning II

Beginning III

Beginning I/II

Beginning II/III

Intermediate I

Intermediate II

Intermediate III

Intermediate I /II

Intermediate II/ III

Advanced I

Advanced II

Introduction

Fundamentals

Lectures/Workshop

Post Advanced

Group Case Consultation (not within 24 hours of a specific training module)

Course Title:

*Instructor(s):

Local Coordinator #1

*Name	*Phone

*E-mail	Website

Local Coordinator #2

Name	Phone

E-mail	Website

More Info

*Preparation (check all that apply):

Be well nourished and well rested as you begin this experiential training.

Limit your evening obligations during the training.

It is important to attend the full four days for the optimum learning experience. If you must leave for any length of time during the training, please inform the coordinator, an assistant, or instructor, as our concern is for your well-being.

Additional Preparation Information:

*Group Case Consultation / Private Sessions (check box for statement below):

For an additional fee, assistants will be offering individual SE sessions in the mornings before the training, during lunch breaks, and in the evenings. Session sign-up sheets will be available at the training. Many participants find individual sessions helpful at this time in order to process material that may come up during the training. Additionally, these sessions apply towards obtaining the Somatic Experiencing Practitioner Certificate, which requires a total of 12 hours of personal sessions from Somatic Experiencing Trauma Institute approved providers.

Additional Information for Group Case Consultation / Private Sessions:

*Training Hours:

*Driving Directions / Travel Information:

*Lodging Information:

Attach Document / Flyer / Brochure: *Leave field blank if no attachment

Next Training Dates

Next Training #1

Start Date
Month	Day	Year

End Date
Month	Day	Year

Next Training #2

Start Date
Month	Day	Year

End Date
Month	Day	Year

*Class Price:

$800.00 $1175.00 0ther:

Please NOTE: If TBA has been entered in some required fields, it is the coordinator's responsibility to complete a website change form once the information becomes available.

SOMATIC EXPERIENCING TRAUMA INSTITUTE
6685 Gunpark Drive Suite 102
Boulder, Co 80301

Phone: 303-652-4035
Fax: 303-652-4039
E-mail: info@traumahealing.com

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