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student forms

Access the following forms: student application, registration payment, payment plan/promissory note, tuition payment by check, streaming Media Library access & descriptions, W9, student policy handbook, and student session logs. All of our student forms take at least 1 – 3 business days to process. Some forms and applications can take much longer. If you have any questions about forms please email programsupport@traumahealing.org.

Student Policy Handbook  The student policies handbook is revised as of January 18, 2022

Complaint Form – Use this form to submit a formal complaint to Somatic Experiencing International. This form is for filing complaints in relation to all matters such as Admissions, Assistants, CE's, Faculty, Financial Support, Registration, etc.

Student Application New students will need to complete the training application in order to be accepted into the professional training program. 

Student Informed Consent AgreementNew students will need to review and sign this informed consent agreement as part of the application process in order to be accepted into the professional training program. Neglecting to sign the Student Informed Consent Agreement may cause a delay in the processing of student applications. 

Student Readmission ApplicationStudents who have been absent from the training for 5 years or more will need to complete this application along with an updated resume/CV 

Registration Request FormUse this form to register for a training and with payment by check, money order, or to use multiple payment methods. 

Payment Plan Form Use this form to set up a payment plan for Beginning I through Advanced II modules. Complete all required information and submit for approval.

Payment Plan Terms and Conditions  

Refund/Cancellation Request Form – Use this form to request a refund, a payment credit, or a cancellation of your registration

Transfer Request Form – Use this form to request a transfer between cohorts.
Reminder: You must have approval from instructors of both cohorts prior to submitting a Transfer Request

Account Update Form – Use this form to update your name, mailing address, e-mail address, or payment information.

 

Student Session Log (Blank)– PDF
Student Session Log (Blank) Word Doc

Once you have completed all training hours and session requirements, please submit completed session logs by emailing them or faxing them to (303) 652-4039. 

Streaming Media LibraryDemos are now available for rent via our streaming library. Click to browse and rent the demos.

W-9 FormProvide this form to your DVD review session provider. 

SEP Cover Page Form  
PSEP Cover Page Form

*Participants will need to complete and attach this form to their complete SEP/PSEP Approval Packet before they scan and email it to credentialing@traumahealing.org 

Faculty Recommendation Forms

Individual Case Consultation Faculty Recommendation Form (Word doc)

Individual Case Consultation Faculty Recommendation Form (PDF)

Small Group Case Consultation Faculty Recommendation Form (Word doc)

Small Group Case Consultation Faculty Recommendation Form (PDF)