WAMBA Teacher Membership Online Application Form
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indicates required
Name:
Email:
Comment:
Email Address
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First Name
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Last Name
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Phone Number
Name of a Completed Training Programme
If Student specify current training
If Student, where are you training?
If Student specify current training
Please specify your personal Mindfulness Practice
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Write a few lines on your Mindfulness Practice
Please tell us about retreats you have attended.
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Write a few lines on your retreats you have attended
Number of years teaching MBSR/MBCT courses
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How many years have you taught MBSR/MBCT
Have you taught an 8 Week MBSR/MBCT on your own?
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Yes
No
Specify Yes or No
Describe the supervision you have had to date
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Describe the supervision you have had to date
Can we contact you in relation to this application
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Yes
No
