Application | Marion Woodman Foundation

Type

MWF Intensive
MWF Seminar/Workshop

Today's Date*

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MWF Seminar/Workshops*

The Face in the Well: Salt, Pearl & Emerald Tablet

Select program for which you are applying.

MWF BodySoul Intensive*

Where the Water Meets the Sky: Ireland 2016

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Name*

First Last

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country (click to change)

Phone*

Email*

Keep my contact info private

The Marion Woodman Foundation distributes a participant list to everyone attending each program. Participants appreciate being able to contact their colleagues before the program to share travel plans, as well as after the program to stay in touch. We list name, address, phone number, and email. If you do NOT want your contact information to appear, please check the box above.

Application Questions

Complete and submit the Application Form. This will lead you to the secure online payment form where you can choose program/housing/payment option and provide billing and payment information. (The red asterisk notes that the information is a required field.)

What are your reasons for applying? Please be specific as you explore your reasons. What is the call or "draw" of such a program for you? Tell us more about yourself.*

Have you completed any Marion Woodman Foundation Intensives?*

Yes
No

Name of Intensive(s) and date (year):*

What is your profession?*

Prerequisites

25 hours Jungian analysis or therapy
25 hours bodywork

50 hours Jungian analysis or therapy
50 hours bodywork

Please refer to the specific prerequisites for the program to which you are applying. If there is a psychotherapy requirement, have you met the prerequisites? (50 hours are required for MWF Intensives; 25 hours required for MWF Seminars/Workshops). Please describe. We encourage your application if you feel drawn to this program. We are happy to talk with you about your interest and experience even if the prerequisites are not all fulfilled.*

Please refer to the program prerequisites for bodywork. Bodywork is active and mindful such as yoga, tai chi, Authentic Movement, Feldenkrais. Have you met the prerequisites? Please describe*

Do you use BodySoul work professionally? Do you hope to in the future?:*

Do you have diet restrictions?*

No
Yes

Please describe any diet restrictions.*

Do you have any health problems/allergies we should be aware of? Any disabilities or weaknesses?*

No
Yes

Please describe any health or disability issues

How did you hear about the Marion Woodman Foundation?

Questions? Include any questions or considerations you have about the program(s) for which you are applying.

Payment

Where the Water Meets the Sky: Ireland 2016 Accommodation Options*

Where the Water Meets the Sky: Ireland 2016 Shared Room Deposit

Price: $250.00

The Face in the Well Workshop Accommodation Options*

The Face in the Well - Single Room Full payment

Price: $1,790.00

The Face in the Well - Double Room Full payment

Price: $1,555.00

Where the Water Meets the Sky Full Amount

Price: $2,490.00

Loving Our Brokenness Commuter Fee

Price: $1,250.00

Credit Card Total

$0.00

Credit Card Billing Address

Same as mailing address entered previously. Uncheck to add different billing address.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card*

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Visa

Card Number Expiration Date Security Code Cardholder Name

Name

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Program Enrollment Form

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Application Questions

Prerequisites

Payment