Application for Meditation Instructor Training

Name*
FirstLast
Address*
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Phone*
Email*
Date of Birth*
Profession*
Education (institution, degrees granted, years of graduation):*
Why do you want to be a Meditation Instructor?*
Do you have a regular meditation practice? If so, how often and for what duration? What style and tradition?*
Have you completed any meditation retreats? Please describe, and with whom?*
Do you have or have you had a meditation teacher, buddhist teacher or spiritual teacher? If so what is their name? And for how long have you studied with them?*
Have you had any training in relevant fields?*
Are there any reasons (personal, psychological, medical) that would make participation difficult? If so, please describe:*
How did you find out about this training?*
Do you meet all of the prerequisites and consistency of conduct guidelines? (see https://ngakpa.org/meditation-teacher-training/). If not, please explain:*
Please upload a current headshot of yourself*
Disclaimer: All program fees are non-refundable, even if the student decides to withdraw from the program or fails to complete the program for any reason. Students with outstanding tuition debt will not receive certification until tuition is paid in full. Students participating as “Snow Lion” members will be required to fulfill one year of membership and/or will be billed for the remaining cost of the course. Students participating as “Sustainer” members or above will be required to fulfill six months of membership and/or will be billed for remaining cost of the course. Teachers and Ngakpa International reserve the right to make changes to the course material and content at anytime Any student who violates the code of conduct will be placed on “Probation” and under review before being granted Certification of Completion. Type your full name here to signify that you agree to all terms of the training:*