Mental, Emotional and Physical Wellbeing. Helping people Live Well.
Got a question? Please call us on (+44) 01225 294483
About Us
Meet the Team
Testimonials
Terms and Conditions
Privacy Policy
Data Information Request
Equality and Diversity Policy
Home
Dates
Teaching Mindfulness
Mindfulness for Beginners
Workplace Mental Wellbeing
Contact
Navigation
About Us
Meet the Team
Testimonials
Terms and Conditions
Privacy Policy
Data Information Request
Equality and Diversity Policy
Home
Dates
Teaching Mindfulness
Mindfulness for Beginners
Workplace Mental Wellbeing
Contact
MBSR Specialization Course Application
Please enable JavaScript in your browser to complete this form.
We never share your information. However, we do send out a monthly newsletter with information on mindfulness, special offers and details of the latest events. If you would like to receive this information, please tick the box.
Confirm sign up for the newsletter
I confirm by ticking this box that I have read the MBSR Specialization Teacher Training course description and understand and agree to the payment and cancellation arrangements of Mindful Academy International. Full terms and conditions https://mindfulacademyint.com/terms-and-conditions/
*
I have read the course description and cancellation policy
Name
*
First
Last
Email
*
Please reconfirm your email
*
Your telephone number
Emergency contact details
*
Please enter the telephone number and name of the person we can contact in the event of an emergency.
Relationship to you
Where did you hear about the course?
*
Recommendation
Mindful Directory
CPD Standards Office
Google search
Social media
Other
Please confirm where you completed a foundation in teaching Mindfulness Teacher Training course
*
Mindful Academy International (Level 1 or Teaching Mindfulness-Based Programmes)
Mindful Academy
Other Mindfulness Training organization
If you trained with another Mindfulness Training organization, please let us know the name of the organization, contact hours and date you completed the course
Please include the date you completed the course with Mindful Academy International or Mindful Academy or not applicable if you completed the details above
*
Please give details of any 8-week MBSR or 8-week Mindfulness-Based courses, or other Mindfulness-Based classes or workshops or courses you have taught
*
Please tell us a little about yourself, including your current occupation
*
What is your current mindfulness practice? Please include type of practice, duration, frequency per week and any silent retreats you have attended
*
How does mindfulness support your daily life and work?
*
Do you have any physical illness or other limitation that may make sitting, standing, walking or doing simple exercise difficult for you?
*
Yes
No
Do you have any specific learning needs?
*
Yes
No
Any other details you would like to share in connection with this application
GDPR Agreement
*
I consent to having this website store my submitted information so they can respond to my inquiry.
Submit your application
