Application for 18-Month Professional Training Programme
Train to Teach MBSR and MBCT Starting in April  202
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Email *
Name *
Address *
Date of Birth
Gender *
Emergency contact number
Occupation & place of work
Professional qualifications and training:
Please give details of the 8-week mindfulness-based course/s in which you have participated (including dates, location and name of teacher):
Please give details of any mindfulness meditation retreats you have attended:
Please give details of your experience of body awareness practices (yoga, Tai Chi etc.):
Please give the names and contact details of 2 people who can offer references for you:
In support of your application please write a brief summary here (approx. 500 words) outlining:                  1.Your reasons for applying and what you hope to learn          2.Your meditation experience, including your experience of the 8-week mindfulness-based programmes (or equivalent) detailed above and the meditation retreats attended, if any, and your ongoing personal practice                                                              3.The professional context in which you plan to teach    4.Any life challenges or events that have been significant and that may have a bearing on this application and perhaps say a little about what supported you through them. *
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