Please indicate the modules for which you are applying:

Levels 1 - 4 (Foundations of Health + Deepening)

Levels 1 - 2 only (Foundations of Health)

Note: Students applying for Levels 1-4 will be given registration priority.

Applications are read by Instructors and Program Coordinator only. Some information may be shared with the teaching team for support and educational purposes.

There is a separate application process for the Second Year, online Modules 8-14, Somatics of Death and Birth, with Brigit Viksnins. Prerequisite is the First Year (L1-4 or M1-7).

Name, Preferred name in class, Pronouns:

Street Address, City, State, Postal Code, Country:

Cell Phone, Email, Website:

Occupation. Place and Date of Birth:

Please list your training, including licensure and academic degrees, in bodywork, health education, and any related fields relevant to this program, with dates of study and/or completion:

Please describe your professional practice. Include years of experience, max/min number of clients per week, modalities used, teaching experience, etc:

What are your current  movement and active embodiment practices?  Please describe.

What are your current stillness and slower mindfulness practices?  Please describe.

Describe your current health condition & relevant health/medical history, including near-death experiences, as well as information a practitioner should have before working with your body, such as significant challenge/trauma history like surgeries, ACEs, car accidents, significant falls, etc:

Have you personally received any of the following body or process work:

How did you hear about this training program?

Please list anyone you know that has graduated from this program.

Agreements & Payment:

By typing your name below, you confirm that you are available for the training in person at Good Medicine in Portland, Maine, on these dates, 2024-2025:

Tuition rates include basic membership in our Maintain Alignment international online community until three months after your last class, and include participation in Integration Circles to support your learning between Levels.

Receiving several professional healing sessions in this style of work over the course of the entire First Year program is recommended. These sessions are for your personal understanding and growth and are not included in the cost of the program. 

Cancellation/Withdrawal Policy: 

Alchemical Alignment, LLC reserves the right to cancel or postpone any program. In such a case, tuition credit is transferred to future classes. We also reserve the right to ask any student to leave any program, or defer their participation until the next round a class is offered, for any reason. 

In case of student cancellation: 

This policy encourages you to commit to coming. Tuition is transferable to another round of training up to 6 weeks prior to the start of the class, and leaving a cohort for any reason, the $500 registration fee will be charged. Within 6 weeks of class, regardless of attendance, full tuition is payable, non-refundable or transferable, except in cases of dangerous weather, or unexpected severe illness or emergency.

I affirm that I understand the Cancellation/Withdrawal and Refund Policy.

(Regarding preparation: if you are not sure yet, please attend our other AlchAlmt offerings or receive sessions until you are sure.)

Type your full legal name here to serve as your signature and agreement with all of the policies above. This is a morally and legally binding document.

Thank you for submitting your application!
We appreciate your interest in this unique training and look forward to reading it.
We may request 15-30 minutes with you to check in.
Please allow up to 10 days for us to review and confirm your application.