Application Form

If you wish to join our association, please submit your details below.

Application Form

* Indicates required field

Select your registration *

Title *

Other Title *

First Name *

Middle Name(s) *

Surname *

Email *

Phone number *

House Number/Name *

County *

Post Code *

Street *

If you chose the category Somatic Movement Dance Terapist, then please let us know which Somatic Movement Education & Therapy training you have completed. Also here, tell us if you are a trained dancer and if you have a degree in Dance.

Somatic Movement Dance Therapist *

If you chose the category Somatic Movement Dance Specialist, then please let us know about your current practice and background in dance.

Somatic Movement Dance Specialist *

If you hold a PhD in the field, please tell us about the methodological and theoretical content, and your current practice. Tell us if you actively work with community groups and where.

For people with a PhD *

If you are a student, then let us know what you are studying and why somatic movement interests you. Let us know if you are undergraduate or postgraduate student and where you are studying.

For student registration *

If you are a student, let us know the date you complete your studies

Day *

Month *

Year *

If you are a Universal Credit claimant, and wish to apply for a subsidy, please provide your National Insurance number. Please also upload a copy of your most recent benefit letter.

National Insurance Number *

Upload Evidence *

Max file size: 20MB

Use the fields below to supply the email address contact for 2-3 references.

Reference 1 - Name *

Reference 1 - Email *

Reference 3 - Name *

Reference 2 - Email *

Reference 3 - Name *

Reference 3 - Email *

If you chose organisation or individual membership, let us know who you work for, or which organisation you lead, or if you are freelance *

Would you be willing to submit to a Criminal Record Check (formerly CRB Check) *

Tell us anything else about yourself that you feel is important to share *

Please use the field below to upload any supporting documents to your application

Upload Evidence 1 *

Max file size: 20MB

Upload Evidence 2 *

Max file size: 20MB

Upload Evidence 3 *

Max file size: 20MB

I agree to receiving marketing and promotional materials *

Complete your Application

Apply to Join Our Easeful Theraputic Community