TT3 Sign-up - Mindful Academy Solterreno

TT3 Sign-up Application Form

Please fill out the form below to get started on your MBSR teacher training journey.

"*" indicates required fields

Personal Details

Name*

Email*

Address*

Phone*

Emergency Contact Phone*

Date of Birth*

Passport / ID Number*

Additional Information

Exact Name you would like on your Certificate*

Which TT3 dates are you applying for?*

Online or In-person?*

8-week MBSR Course?*

Have you taken part in an 8-week MBSR course? If so please include details including, date, location and teacher's name.

TT1 and TT2?*

The TT3 is intended for MBSR teachers who have previously attended a Teacher Training Level 1 and 2 with us, Mindful Academy Solterreno, or an equivalent course with another training organisation. Have you taken part in TT1 and TT2, Teacher Training MBSR courses? If so please include details including, date, location and teacher's nam

Meditation Retreat?*

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 teacher's name.

Please tell us a bit about yourself.*

Please tell us a little about yourself, including your current occupation.

Teaching experience?*

What mindfulness teaching experience (if any) do you have?

How long have you been practising meditation?*

Dietary Requirements?*

If In-person, do you have any specific dietary requirements. The meals offered are vegitarian.

Mental Health?*

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.

Taking Medication?*

If you are taking any medication at present, please say what it is and what it is for.

Life event in the last year?*

Have you had any disturbing life event in the last year, which may make the course difficult for you?

I have read and accept the Terms & Conditions.

I have read and accept the Privacy Policy.

I am happy to share my email with others in the same TT3 to help communication within the group.

Phone

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