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Journey Meditation Teacher Training
Application for Journey Meditation Teacher Training
Today's Date *
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ABOUT YOU
First Name *
Last Name *
Street Number *
City *
State *
Zipcode *
Email Address *
Primary Phone (xxx-xxx-xxxx) *
Birthdate *
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Occupation *
Current Employer *
Emergency Contact Name *
Emergency Contact Number *
TRAINING INFO
Training Location *
YOUR PRACTICE
We recommend that you have a minimum of six (6) months of regular meditation practice prior to enrolling in the training.  Please be honest in answering the questions below, and do not fear answering “no”.  Having this information will help us get to know you and ensure we’re able to provide you with the best training experience.
What is your weekly meditation practice? *
Which type of meditation or lineage do you normally practice? *
How long have you been practicing meditation? *
Who have been your primary teachers? *
What part of your practice challenges you the most? *
Do you practice other awareness based practices, such as yoga or Tai Chi? *
Required
If yes, please list your practices:
Are you currently teaching meditation? *
Required
If yes, where do you teach?
Are you currently teaching another awareness based practice, such as yoga or Tai Chi? *
Required
If yes, where do you teach?
How did you hear about this program? *
Do you have a Referral Code?  If so, please enter it here.
Why do you want to take the Journey Meditation Teacher Training? *
What are your expectations for this training? *
What do you hope to achieve upon completion of the training? *
PROGRAM PARTICIPATION, CANCELLATION AND REFUND POLICY
1. I understand that if I fulfill all of the requirements of the Journey Meditation Teacher Training, including in-class hours, homework, home practice and passing both the written and in-class final exams, I will receive a certificate of completion for the level of training that I completed.  Paying for the program and completing the in-class hours alone does not constitute a “passing” status for any training.
2. I understand that the Journey Teacher Training Materials are proprietary content and cannot be reproduced by me without written permission from the author.  Failure to comply may result in legal action against me.
3. In the event that I need to cancel my enrollment, I agree to notify Journey no later than 48 hours prior to the start date of my program.  My training tuition can then be applied to a future training, per the transfer policy below.  Teacher training tuition is non-refundable once my enrollment has been finalized.  
4. I can transfer my tuition to a future Journey Meditation training of the same level.  I will have one year from the start date of my original training to re-enroll; after one year I will forfeit my teacher training tuition.

Do you acknowledge that you have read and understand our participation, cancellation and refund policy? *
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