Test 4 - Mindfulness in Schools Project

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Teach .b Application TEST

"*" indicates required fields

Please select the Teach .b course you are applying for

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

Name (First name and Surname. This will be the name used on your certificate)*

Email Address*

House number or name*

Street*

Town or City*

County or state*

Postcode*

Country*

Region*

Home telephone number (please include country code if outside UK)*

Mobile telephone number (please include country code if outside UK)*

Emergency Contact name and number whilst on the course:

Please give details of an emergency contact who will be available while you are on the course.

Name*

Number (Landline)*

Number (Mobile)*

Your Employment:

Your Profession*

Your Employer*

Employer's Postcode

Is your employer*

A maintained school (incl. grammar school) or academy chain in the UK

An independent school in the UK

A council, LEA or other governmental body

A non-UK school or other international educational body

Other (please specify)

I am self-employed

Please specify*

Name of school or place of work*

Postcode of school or place of work*

Funding:

How is your attendance being funded?*

Self-funded

MISP Supported Place

Other

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.

Enter the code received from MiSP*

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*

By selecting from the following options you confirm that you have completed a teacher-led 8-week secular mindfulness course as outlined in the prerequisites guidance provided.

Course*

Please specify the date you completed your 8-week course*

DD slash MM slash YYYY

8-week course Teacher name*

8-week course Teacher contact details*

Special Requirements e.g. any accessibility requirements, relevant health conditions/ allergies, other?

Where did you hear about this course?*

Your school

Another organisation

A friend

A MiSP Leaflet

A Facebook advert

A MiSP event or stand

Internet search

MiSP on Facebook

MiSP on X (formerly Twitter)

MiSP on LinkedIn

Other

Please enter the search term used*

Please state*

Please confirm you are over 18 years of age*

I confirm that I am over 18 years of age

Please confirm your level of English*

I confirm that I am able to speak and understand English to an Upper Intermediate Level, i.e. I am able to interact fluently with native speakers, communicate effectively and understand everyday language without the aid of an interpreter.

We’d love to stay in touch.*

I’d like to be kept up to date once I have completed Teach .b so I can find out about what’s on offer in the HUB, MiSP news and events, practice groups and training with MiSP in the future.

I’d prefer not to be contacted