Supervision Training: Level 1

Terms & Conditions

We never share your information. However, if you would like to subscribe to our newsletter to receive information about our forthcoming courses and events, please tick this box.

I confirm by ticking this box that I have read the course description and relevant information sheets and understand and agree to the Terms & Conditions of the Mindfulness Network.

About you

Title:
Forename:
Surname:
Address:
Town/City:
County:
Postcode:
Country:
Phone:
Email:

Please provide emergency contact details below:
Name of contact:
Relationship to you:
Phone number:

I am a Mindfulness Network Associate:

Where did you find out about this event?

Please provide further information:

Your Mindfulness experience and practice

Please confirm you have completed The Mindfulness Network Training Pathway or another recognised mindfulness training progreamme (minimum 12 months duration). (See pre-requisites for further information).
Provide name of programme, organisation and date of completion:

Please confirm you have attended an Inquiry training course or had this incorporated into a training programme (minimum 2 days or equivalent)

Please confirm dates/organisation/programme:

Name of your supervisor/s (or equivalent - please add extra information as required):

Please provide evidence of substantial experience over a minimum of three years in mindfulness-based work: either dates for a minimum of nine Mindfulness-based programmes you have taught and/or how you have taught/conveyed mindfulness in other ways:

What is your professional role/work?

Course fees

Please select the fee that you're paying

Is your employer or a company/organisation paying your fee?

Recognising the administrative overhead of dealing with employers, we will be adding a £50 surcharge if the employer is paying directly; where possible we would recommend that applicants pay themselves and reclaim on expenses to avoid the charge. Responsibility for payment remains with the attendee. Please note: If your employer is paying, a deposit option will not be available, and the full amount will be invoiced.

Please tick to confirm you have read the above information

Please provide further details of where to send your invoice: Organisation name:

Address for invoice to be sent:

Postcode:

Contact name:

Contact email address:

Contact phone number:

Do you have a purchase order number - if you are working within the NHS, this is usually necessary:

Your physical and mental health

It is helpful for us to have some information about you so that we can best meet your needs at the event. Please provide information, if possible, to the following questions:

Do you have any physical illness or other limitation that may make hearing, sitting, or standing difficult?

Please provide further information:

Do you have any other specific learning needs?

Please provide further information:

Please provide any other information you would like to pass onto the admin team or teachers in connection with this application. Please include any dietary requirement needs, if applicable to this event

The Mindfulness Network

Application Form

Supervision Training: Level 1

GET TO KNOW US

T&Cs

READ OUR BLOG