Apply to SBGI’s Somatic Psychology Certificate Program at Esalen

Please fill in the requested information. Your application will be reviewed and you will receive an e-mail response confirming your status, along with additional information on how to proceed. Once approved, your name will be provided to Esalen and you will be eligible to register for any SBGI sponsored course within the Relational Somatic Psychology Certificate Program. Training registration, accommodations and payment are arranged directly with Esalen. CEUs and work-study scholarships are also handled by Esalen.
Your Name(required)
Email(valid email required)
Street Address(required)
City(required)
State/Province(required)
Postal Code(required)
Daytime Phone(required)
Evening Phone
Name of Course for which you are applying(required)
Number of Course for which you are applying(required)
Dates of Course for which you are applying(required)
Do you currently have a license to practice some form of therapy? If so, please specify type and how long you have been in practice.(required)
Do you currently have a bodywork or somatically oriented practice? If so, please specify type and how long you have been in practice.(required)
Do you have a practice or experience providing therapy, counseling, consulting or health care not covered above?(required)
Do you have other relevant professional background and experience? Please specify type and length.(required)
Do you have any medical condition that may interfere with your capacity to participate in this program?(required)
Do you have any psychiatric condition that may interfere with your capacity to participate in this program?(required)
Is there anything else you would like us to know?(required)
I am interested in graduate degree programs in Somatic Psychology.
Yes No
I would like to receive the SBGI Newsletter.
Yes No
If you would prefer, please download and print a fresh copy of the application.
Participation Agreement:

I understand that this program includes exercises and topics that could be stressful.

I understand that this program may include the use of touch, personal and interpersonal exercises, and therapeutic practices.

Hold Harmless Statement.

I understand that I am responsible for my own actions during my participation in the Relational Somatic Psychology Certificate Program with faculty and associates of Santa Barbara Graduate Institute. And that Santa Barbara Graduate Institute and their associates, Esalen Institute and their associates, and the owners of the property where the training will be held assume no responsibility for any incidents or accidents to any individual.

This Certificate Program is for professional and personal self-development and informational purposes only and is not intended to be therapy. Participants seeking or requiring professional therapeutic services should secure them from a private therapist outside the training.
I agree with the above statement and submission of this application indicates agreement.

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Apply to SBGI’s Somatic Psychology Certificate Program at Esalen

Participation Agreement:

Hold Harmless Statement.