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ABOUT
THE MOVEMENT
THE CUTTING EDGE
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Conscious Change Study
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COURSES & PROGRAMS
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SHORT COURSES
Breath4Stress
Inner Leadership Coaching
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ABOUT
WHO WE ARE
OUR FRAMEWORK
Press & Articles
THE MOVEMENT
THE CUTTING EDGE
MAGAZINE
RESOURCES
Conscious Change Study
OFFERINGS
COURSES & PROGRAMS
CONSULTING
SHORT COURSES
Breath4Stress
Inner Leadership Coaching
CONTACT
Mindfulness Meets Impact
Thank you for your interest.
Please submit the form below and we will review your application and contact you.
Full Name
*
First Name
Last Name
(Optional) Preferred pronouns
Address
Time Zone
*
Email Address
*
Phone
*
(###)
###
####
Do you have any accessibility issues that would make it difficult to participate by Zoom or email?
*
Would you be interested in seeking a discount or payment plan according to our equity pay scale?
*
Yes
No
Please share more about your interest in the certification program and how you might like to teach the curriculum?
*
The following registration questions will help set individual intentions and introduce you to your cohort:
Who are you right now at your deepest level?
*
What is your vision for yourself at the end of this course and/or course series?
*
Are you willing to commit to a journey of self-exploration with individual and group participation?
(Optional) Are you applying with a group? If so, please include their names
Thank you!