Application

EMI's MTT 300 Application

We are now accepting applications for the 2022-2023 Cohort!

FIRST NAME

LAST NAME

How did you hear about us?

OCCUPATION

BIRTHDATE

MEDITATION HISTORY: Please describe your daily/regular meditation practice. Indicate the frequency, duration, and techniques that characterize your practice at-home.

MEDITATION RETREAT EXPERIENCE: Please indicate the date, length of retreat, location, teachers names (required), and anything that you consider significant about thre retreat or your experience?

MINDFULNESS TEACHER TRAINING EXPERIENCE: Describe any previous mindfulness trainings and courses attended. Please indicate the approximate date, name of the training program(s), and teachers

DESCRIBE ANY EXPERIENCE TEACHING MINDFULNESS:

WHY DO YOU WANT TO TEACH MINDFULNESS?

Which of your meditation teachers have been most important to you?

WHERE WILL YOU USE THE SKILLS LEARNED IN THIS TRAINING?

Have you ever experienced trauma or any significant emotional, psychological or spiritual difficulty that affected your ability to function? If you are willing, please briefly describe it, when it occurred, and if it is still occurring now.

Are there any conditions (such as anxiety, panic, depression, drug addiction, alcoholism, or other mental health conditions requiring treatment), or life changes (such as recent loss, change of job, marriage or divorce), or significant trauma that might make meditation practice difficult at this time. We recommend that only those who are experiencing a considerable degree of stability consider joining this program.

Please describe any relevant conditions below:

Applicants aren’t always able to accurately assess their readiness to join an intensive year-long program and attend group retreats. We do not have staff resources to support special psychological needs. Therefore, we require two referrals from established meditation teachers or long-term mindfulness practitioners. We may contact your reference(s) to verify they perceive you as a suitable candidate for this program.

Please provide references here, including names, emails, telephone numbers, and where they are based.

I have daily (non-public) computer access with high-speed internet. I have proficient skills in navigating in online environments (**required for enrollment).

Yes

TIME COMMITTMENT: I CAN DEDICATE SUFFICIENT TIME TO COMPLETE ALL STUDY, PRACTICE AND COURSE REQUIREMENTS (APPROX 10 HRS/WEEK)

Yes

I commit to attending and being wholly present for the entirety of this course, including participating in all sessions of both the September and May retreats.

ADDITIONAL COMMENTS?

Are you requesting any special accommodations related to your participation?

Yes

If yes, please identify any needs you might have for special accommodations. Requests for accommodations must be made by August 1, 2022; there is no assurance that any request for special accommodations can or will be met.

EMI is an approved continuing education provider with the Association of Social Work Boards (ASWB) and the National Board for Certified Counselors (NBCC). Are you interested in CE credit?

Yes

Street Address

City

Region/State/Province

Postal / Zip code

Country

Thanks for submitting! We will be in touch soon!

MTT 300 Faculty

MTT 300 Faculty

EMI's MTT 300 Application

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