Teacher Training Application - Pause to be Present

Name

First Last

Email*

Phone*

Home Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Will you be attending in person?*

Yes, I will attend in person
No, I will attend via ZOOM
Other, please explain in the notes below

Current Position or Title

Meditation Background*

Please describe below your personal meditation experience, including type of meditation practiced, teachers you have studied under, retreats attended and how long you have been practicing.

Let us know why you are interested in participating in our Teacher Training?*

What are you hoping to learn and what inspires you to take this in-depth study of meditation?

Please check all that apply*

I am interested in being certified as a meditation teacher
I am interested in teaching meditation to children (ages (5-10)
I am interested in teaching meditation to teens and tweens (ages 11-18)
I am interested in teaching mindfulness in schools
I am interested in teaching mindfulness in corporations
I am interested in teaching meditation to individuals
I am interested in teaching meditation to groups of adults

Please feel free to add anything else you would like us to know below . . .

Please feel free to add any additional scheduling information you would like us to know in the space provided below.

Thank you for your interest in our Teacher Training and Certification Program!