Fields marked (required) are required Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone (###) ### #### I am applying for individual membership as a: * Meditation Teacher Mindfulness Teacher Mindfulness and Meditation Teacher Mindfulness for Children Mindfulness Coach Forest Therapy Guide What experience do you have in this field? * Have you completed any recognised training? (Preferred but not compulsory) * Who did you train with? * How was your training undertaken? * * Face-to-face Online Number of hours of training undertaken * How was your training assessed? * Oral Written Supervision Do you agree to abide by the standards as set down by this association * Yes No What services are you interested in? Option 1 Option 2 Option 3 Listing on Website * If listing on our website, please add the contact details you want listed, including the country you wish to be listed under. Please keep listing short and if in doubt check out other listings. Proof of qualifications While we do accept some members based on experience, we require proof of training in the form of a certificate. Please email any documentation to enquiries@internationalmindfulness.org and enter OK to confirm this will be sent in the next 24 hours. Do you want to be listed on our website? * Yes No Payment membership is $99 annually, and will be required to complete your application. upon hitting submit you will be redirected to paypal to complete. If your country does not give you access to Paypal PLEASE CONTACT US AT ENQUIRIES@INTERNATIONALMINDFULNESS.ORG please confirm below that you understand by typing ok. Verification (What is 5+10) * Thank you!
