Refresher Course Application - Mindfulness in Schools Project

Please select the Refresher Course you are applying for*

You must have already trained to teach the curriculum you are applying for.

Please select a course from the drop down menu before proceeding with your application.

I have read, understand and fully agree to the Terms and Conditions for taking part in this training course.*

MiSP Train to Teach course/s already completed*

Please select an option from the drop down menu before proceeding with your application.

Do you have an active Hub membership?*

Name (This will be the name used on your certificate)*

Email address for course communication*

Please check this is correct.

House number or name*

Street*

Town or City*

County or state*

Postcode*

Country*

Region*

Home telephone number (please include country code)*

Mobile telephone number (please include country code)*

Emergency Contact name and number:

Please supply a contact who we can get in touch with if there is an emergency during the course.

Name*

Number (Landline)*

Number (Mobile)*

Your Profession*

Your Employer*

Your Employer's Postcode*

Is your employer*

Please specify*

Name of school or place of work*

Postcode of school or place of work*

How is your attendance being funded?*

To secure a place payment is due within 2 days of receiving the invoice.

To secure a place payment is due within 2 weeks of receiving the invoice.

Please provide the name and address of the organisation and the contact name and email address of the person we should send the invoice to:

Organisation name*

Organisation address*

Contact name*

Contact email address*