Brilliant Labs BC 2024

The Brilliant Lab BC 2024 - Application

Somatic Relational Trauma-informed Practices for Medicine-Assisted Facilitation Hybrid Learning: Experiential, Theory, Demo + Dialogue
I am applying to:

Brilliant Lab 101, Aug 19-22, 2024 (Acceptance based on Strength of Application)*Brilliant Lab 201, Sept 23- 28, 2024 (a. Completion of Lab 101, or Victoria Lab in British Columbia or b. Strength of Application + Interview with BHI Team)**
* Criteria and Eligibility for Strength of Application to Attend Lab 101

Lived Experience with Psychedelic medicines (please specify in application)

One or more of the following:

- Completion of a Underground Psychedelic Training (please specify in application)

- Some form of Embodiment Practice

- Background in Counselling, Therapy, Social Work or Healthcare

- Community-based Healing Practice

**Criteria and Eligibility for Strength of Application to Attend Lab 201
(without prior Lab 101)

One or more of the following:

- Client Private Practice

- Completion of a Psychedelic Training (please specify in application)

- Completion of an Advanced Somatic Training (please specify in application)

- Minumum 2 years Professional Psychedelic Practice with Clients

- Please offer other Scenarios you think we may consider

Important note: If you are a returning participant and applying for 201, you are required to update BHI on any recent trainings you have completed, latest experiences with psychedelics you have undergone, any changes to your overall health, renewed details on any professional support you are seeking and to update your health information so that it is current.
Name

First NameLast Name
Birth Date

MonthDayYear
Preferred pronouns
Address

Street Address

Street Address Line 2

CityProvince / State

Postal / Zip Code
E-mail
Please use the email address that you want us to keep in our records and use for correspondence.
Mobile Number
Please describe your current professional scope of practice.*

0/100
Please describe your personal experience with psychedelic-assisted therapy and your experience with guiding psychedelic-assisted therapy sessions. *

0/100
How do you imagine that this particular offering – The Brilliant Lab (101 or 201) – would benefit you personally and professionally?*

0/100
What quality in you do you bring to a group that would add to the group dynamics? (ie: warmth, curiosity, kindness)*

0/100
Are there any circumstances in your life that could be potential stressors and may impact your participation?*

0/100
Who is actively supporting you with your inner work? (i.e.: therapist, counsellor, facilitator, coach, shaman, practitioners, mentors, other?)*

0/100
What is your current embodiment practice?*

0/100
How do you care for yourself when you are triggered or sensitized, particularly in a group situation?*

0/100
Additional Comments
By clicking submit, I hereby seek to participate in a healing circle with Rita Bozi and her assistant(s). I understand that they do desire to ensure the safety of all participants. In order to assist them in this regard, I agree to complete the Confidential Medical History form provided. I am assured that the information provided will remain strictly confidential and will serve only as a guide in determining the appropriateness of my participation in the healing circle and in meeting my needs before, during and afterwards. I have been informed of the nature of the event, the needed preparation and the rules of engagement. I commit myself to stay in the circle until the end of the workshop and to respect the directives given by the organizers, helpers and leader(s).
Agree

The Brilliant Lab BC 2024 - Application