Application form TT1
For the MBSR Teacher Training course run by Mindful Academy Solterreno, Spain
Email address *
Name *
Your answer
Tel number *
Your answer
Emergency contact number *
Your answer
Date of birth *
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Address *
Your answer
Passport or ID number *
Your answer
Gender *
Please give the exact name you like on your certificate should you be accepted and graduate *
Your answer
Are you happy for your email to be shared with other course participants for travel sharing from the airport to the shared pick-up point? *
For which TT1 dates are you applying? *
Have you taken part in an 8-week MBSR course? If so please include details including, date, location and teachers name *
Your answer
Have you attended a Silent Teacher lead Mindfulness Meditation retreat of between 2 and 5 days? If so please include details including, date, location and teachers name
Your answer
Please tell us a little about yourself, including your current occupation
Your answer
What mindfulness teaching experience (if any) do you have?
Your answer
How long have you been practising meditation?
Your answer
We serve vegetarian food. Do you have any special medical dietary restrictions?
Your answer
Have you had any mental ill-health within the last few years, such as anxiety or depression? If yes please tell us about it here
Your answer
If you are taking any medication at present, please say what it is and what it is for
Your answer
Have you had any disturbing life event in the last year, which may make the course difficult for you?
Your answer
Please acknowledge that you have read and accept our Terms and Conditions and Our Privacy Policy https://mbsr.website/terms-and-conditions https://mbsr.website/privacy-policy *
A copy of your responses will be emailed to the address you provided.
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