Online MBPH Program Application Form

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For healthcare and social services professionals in Vietnam

Important Information:

**The participant has to be committed in attending all 8 sessions. The participant is required to turn on the camera during the training. A certificate of completion will only be offered to those who have attended all 8 sessions and completed a reflection paper.

Name (English) *

Sex *

Age *

Occupation *

Organization *

Mobile Phone No. *

Email *

How you know about this program? *

What is your past understanding and experience about mindfulness? *

Expectation of this program (for personal lives) *

Expectation of this program (for professional lives) *

Can you attend all 8 sessions of the program? *

Yes

Are you willing to turn on the camera during the program? *

Yes

Do you understand this program is focus on enhancing your personal mindfulness practice rather than training you as a mindfulness teacher? *

Yes

Do you agree to respect and protect the copyright of all teaching materials and will only use them for the purpose of participation in the MBPH program? *

Yes

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