Volunteer Supporter Request Form
Full Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Are you on the Breathworks Teacher Training Pathway?
*
Yes, I have completed the Breathworks TTi (Introductory)
Yes, I have completed Breathworks TTa (Advanced)
No, but I am training with another provider
No, and I am not training to be a mindfulness teacher
What is the name of your mentor?
Which course would you prefer to support?
*
Mindfulness for Health Manchester
Mindfulness for Stress Manchester
Online Mindfulness for Health
Residential Mindfulness for Health course
Mindfulness Retreat
Have you been a participant on a multi-week Mindfulness course?
No
Yes, Breathworks: Mindfulness for Health
Yes, Breathworks: Mindfulness for Stress
Yes, Online Breathworks course
Yes, but with another provider
Please state briefly your motivation to support a Breathworks Mindfulness for Health/Stress course.
Are you able to commit for the full 8-weeks? This will include being able arrive about 45 minutes before the class to set up and staying on up to 30 minutes afterwards. If not please state what sessions you will miss.
Do you have any health condition or circumstances the teacher should know about? The job is not demanding and but can be physical including moving chairs, mats and cushions. It'd be helpful to know this if we need to put additional support in place.
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