First Name

Last Name

Email *

Phone *

Website and/or Social Media

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Years in Practice

What specific styles or modalities do you facilitate?

Additional Certifications or Specialized Training

What first called you to your specific modality or practice?

What is your availability?

Are you currently CPR certified?

Do you currently carry professional liability insurance?

Are you legally authorized to work in the United States?

How do you currently tend to your own personal growth, self-care, and practice?

How does your understanding of the human body (physical, energetic, or nervous system) inform your facilitation?

What is one specific area of your professional craft that you are currently focused on refining?

What is the primary experience or transformation you hope clients or students receive from your work?

What is one quality or outcome that people consistently appreciate about your professional approach?

What attracts you to The Temple?

What does community mean to you?

How could you contribute to a team environment beyond what you are applying for??

Are you interested in collaborating with other facilitators on workshops, special events, or community offerings?

What do you feel you would bring to this community?

Describe a moment where receiving feedback directly influenced your professional growth.

How do you typically respond when someone offers feedback or a new perspective?

What Position are you applying for?

Are there any client populations, body types, or situations that you do not feel comfortable working with?

Beyond hands on sessions, are you interested in any of the following opportunities?

What is something you would love to learn more about in the next year?

How do you typically assess a client's needs before beginning a session?

How do you measure progress when working with clients over multiple sessions?

How do you determine whether a client would benefit from therapeutic work, relaxation focused work, mobility work, or referral to another professional?

How would you describe your teaching style?

How do you create a safe and welcoming environment for students?

How do you ensure accessibility and support for participants with varying levels of experience?

How do you balance demonstration and observation while teaching?

Tell us about a moment when a student taught you something.

When someone observes one of your classes, what would you hope they notice?

What would you be most interested in improving or developing as a teacher?

What is your experience with hands on assists?

Comfort Level with Hands On Assists

What interests you most about learning hands on assists?

Would you be interested in receiving training and mentorship in hands on assists?

Is there anything else you would like to share with us?

Human Design & Astrology

At The Temple, we recognize that every person has a unique way of communicating, leading, learning, resting, and contributing. If you're interested, you're welcome to share your birth information so we can better understand how you naturally work and how we can best support you as part of our team. This information is completely optional and will only be used to foster collaboration and personal growth.

Date of birth

Time of Birth

City

State

Country