Apply for Membership - International Mindfulness and Meditation Alliance

Name *

Address (please include country)

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Email *

Phone

Date

I am applying for individual membership as a: *

Meditation TeacherMindfulness TeacherMindfulness and Meditation TeacherMindfulness for ChildrenMindfulness for ChildrenMindfulness CoachForest Therapy Guide

What experience do you have in this field? *

Have you completed any recognised training? *

This is preferred but not compulsoryYesNo

Who did you train with? *

How was your training undertaken? *

Face-to-faceVoice-to-voiceOnline

No of hours of training undertaken *

How was your training assessed? *

OralWrittenSupervision

Do you agree to abide by the standards as set down by this association *

YesNo

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

Do you want to be listed on our website? *

YesNo

If listing on our website add the contact details you want listed, including the country you wish to be listed under.

Fees Membership fees are payable via Paypal once you submit this form. If your country does not give you access to Paypal you can type in your credit card no. and expiry date in the box above.

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Apply for IMMA Membership

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