Teacher Training Application

September 2021 – July 2022

Applications Now Accepted

Before applying, please note the following prerequisites:

Minimum three years regular meditation practice (mindfulness-based)
One silent mindfulness/meditation retreats of 5-7 days or longer
Extensive experience being in nature

Exceptions concerning these guidelines are at the discretion of the faculty.

Name *

First

Last

Email *

Phone *

Only enter numbers, no dashes, parentheses or other symbols. Thank you!

Address *

Address 2 (Optional)

City/Town *

State/Province *

Postal/Zip Code *

any, classes for

Country *

Current Occupation *

Gender/Preferred Pronouns *

Date of Birth *

Ethnicity *

Languages Spoken *

Where specifically did you hear about this training? *

E.G. Facebook post or ad, Mark, Mark's Newsletter, past student, etc. (Please name the person.)

Please state why you wish to lead meditation / contemplative practice in nature. *

Describe your past experience with meditation / contemplation in nature. *

Have you taken any classes or workshops with Mark before? If so, what and when? *

Describe other nature-based practices you have done or do.

For how long and with what regularity have you maintained a meditation practice?

List any teacher or meditation group you have studied with.

Please give details of any mindfulness courses or meditation retreats you have attended. Please be as specific as possible, with the name of the course, teacher, location, dates, and brief description, if possible. As a reminder, attending at least one silent mindfulness retreat of a minimum of five days is a requirement. *

Have you previously taught mindfulness / meditation practices? If so, please describe.

What other kinds of teaching have you done that relate to this field?

What professional trainings have you taken that relate to this training?

What are you hoping for from attending this training? *

What kind of teaching are you hoping to do upon completion of this training?

What, if any, psychological or mental health issues have you had in your life, past or present. Please list any medication you are taking for these issues.

Is there anything else you would like to add?

5 * 4 = ?