Strozzi Institute
Embodied Leadership Pathway

Program Application – Part B

Intake Form

Directions


Complete - Step 1: Successfully complete the in-person foundational course, Embodied Transformation

Step 2: Complete the Program Application – Part B: Intake Form. Upon submission, you will receive an email confirmation that your intake form has been received.

Step 3: Scheduled an Enrollment Interview with the Director of Enrollment via this LINK.

Step 4: If, after your Enrollment Interview, you are invited by the Director of Enrollment to enroll in the program, you will receive an email with a link to the enrollment and payment form.


Details


  • Your application will hold your spot in the program until completion of your Enrollment Interview.
  • Once you have been invited into the program, you will have ten (10) business days to complete your enrollment and payment arrangement. 
  • Program applications will close approximately 6–10 weeks before the course start date (see course page for full details).
  • Once the program has enrolled to capacity, a waitlist will be created should spots become available
  • If you are applying for a scholarship, you will complete steps 1 – 5.  Once scholarship awards are announced, you will be provided steps to enroll. Please see our scholarship application page for details.


Have questions? Email us at enrollment@strozziinstitute.com

If you have not yet completed or enrolled in Embodied Transformation, have questions about the Somatic Coach Certification pathway or would like to connect in person, please click HERE to schedule a general consultation with the Director of Enrollment.

Course Calendar

Participant Information
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Program Application
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In what domains of your life are you in leadership? (Check all that apply)
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What kind of organization are you a part of?
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What category would your yourself in for your body of work?
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How would you describe your income generating activity? (Check all that apply)
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What best describes your role? (Check all that apply)
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ELP is a transformational program. What types of support do you have in place in your life? (Check all that apply)

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What is inspiring you to enroll in this program at this time?
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Demographic Information
These demographic questions are optional. By gathering this data we are able to better understand who is participating in our courses.
With which race/ethnicity do you identify? (Optional)
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What gender pronouns do you use? (Optional)
Select all that apply
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With which of these class identities do you currently identify? (Optional)
Select all that apply
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Submit
Form Not Submitting? 
If your form is not submitting, it's most likely due to an error in one of the fields. Please scroll up and look for the red exclamation mark to find where you need to correct the entry. If you're still having trouble submitting the form please email courses@strozzinstitute.com.
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