Register for course / teacher training

Welcome at the Centrum voor Mindfulness! With a few easy steps we will guide you through the registration process.
After that you will receive a confirmation of your application at the email address provided.

Checking your choice
First, please check your choice of course, workshop or teacher training program and confirm it.

Teacher Training MYmind for Youth Online

Start date:: 23 September 2021
Trainer:: Susan Bögels
Location:: Online
Price:: € 1000,- 1000
Books not included in the course fee.

Is this choice correct?

If yes, please click Next to answer a few questions.
If not, please return to the Previous Page to select the course, workshop or teacher training you want to attend.

A18

D10

D11

D12

E10

E11

F10

G10

G11

G12

G13

H10

H11

H12

H13

H14

H15

H16

H17

H18

H19

H20

H21

H22

H23

Ongeldige invoer

Adding personal and invoicing information

To process your registration and sending you an invoice, we need some information from you. Could you please provide that information below?

Email address*

Ongeldige invoer

Repeat email*

Ongeldige invoer

Password

Ongeldige invoer

Repeat password

Ongeldige invoer

First name*

Ongeldige invoer

Middle name

Ongeldige invoer

Last name*

Ongeldige invoer

Phone number *

Ongeldige invoer

Date of birth

Day*

Invalid input

Month*

Invalid input

Year*

Invalid input

Gender*

Male

Female

Ongeldige invoer

Street*

Ongeldige invoer

House number*

Ongeldige invoer

Floor, apartment, etc.

Ongeldige invoer

Postcode*

Ongeldige invoer

City*

Ongeldige invoer

Country*

Ongeldige invoer

Stuur hier een foto mee voor het deelnemersboek

Ongeldige invoer

Invoice credentials

Invoice address is the same as above Ongeldige invoer

Company name*

Ongeldige invoer

Department or financial administration

Ongeldige invoer

Street/P.O. Box*

Ongeldige invoer

House number*

Invalid Input

Postcode*

Ongeldige invoer

City*

Ongeldige invoer

State/Province

Ongeldige invoer

Country

Ongeldige invoer

Company or financial department email for sending invoice

Ongeldige invoer

Phone

Ongeldige invoer

Company contact name

Ongeldige invoer

Company contact position

Ongeldige invoer

Company contact email address

Ongeldige invoer

Company contact phone

Ongeldige invoer

Purchase Order # or comparable invoice information

Ongeldige invoer

VAT-number client

Ongeldige invoer

Yes, my partner is joining in the course. Invalid Input

Partner information

First name*

Ongeldige invoer

Middle name

Ongeldige invoer

Last name*

Ongeldige invoer

Email address*

Ongeldige invoer

Phone number *

Ongeldige invoer

Date of birth

Day*

Invalid input

Month*

Invalid input

Year*

Invalid input

Gender

Male

Female

I keep this private

Ongeldige invoer

Parent / guardian information

First name*

Ongeldige invoer

Middle name

Ongeldige invoer

Last name*

Ongeldige invoer

Email address*

Ongeldige invoer

Phone number *

Ongeldige invoer

Date of birth

Day*

Invalid input

Month*

Invalid input

Year*

Invalid input

Gender

Male

Female

I keep this private

Ongeldige invoer

Add another parent / guardian? Ongeldige invoer

First name

Ongeldige invoer

Middle name

Ongeldige invoer

Last name

Ongeldige invoer

Email address

Ongeldige invoer

Phone number

Ongeldige invoer

Geboortedatum

Day

Invalid input

Month*

Invalid input

Year*

Ongeldige invoer

Gender

Male

Female

I keep this private

Ongeldige invoer

Yes, my collegae is joining in the course Invalid Input

Collegae information

First name

Ongeldige invoer

Middle name

Ongeldige invoer

Last name

Ongeldige invoer

Email address

Ongeldige invoer

Phone number

Ongeldige invoer

Add another collegae Ongeldige invoer

First name

Ongeldige invoer

Middle name

Ongeldige invoer

Last name

Ongeldige invoer

Email address

Ongeldige invoer

Phone number

Ongeldige invoer

Add another collegae Ongeldige invoer

First name

Ongeldige invoer

Middle name

Ongeldige invoer

Last name

Ongeldige invoer

Email address

Ongeldige invoer

Phone number

Ongeldige invoer

Now, click Next.

Questions from the teacher

Below we will ask you to provide some information, that will help the teacher to evaluate your application.

What is your highest eduction completed? Please specify (discipline, institute, date of completion).*

Ongeldige invoer

Which professional training or education have you completed? Please specify.*

Ongeldige invoer

Other relevant education and training completed.*

Ongeldige invoer

If applicable, what is your professional registration number/code?*

Ongeldige invoer

Profession/Employment*

Ongeldige invoer

Organisation/company*

Ongeldige invoer

Relevant work experience. Please specify.*

Ongeldige invoer

Are you professionally working as trainer, coach or therapist or comparable? If yes, please specify.*

Ongeldige invoer

Please provide a brief curriculum vitae or resume in English and upload this (as a Word- or pdf-file) here with your application.*

Choose a file…

Please describe your experience in working with people with burn-out related complaints? *

Ongeldige invoer

Please describe any educational or clinical experience you have had teaching pre-teens or teens.*

Ongeldige invoer

Please describe your experience in working with teens in other contexts (both individually and with groups).*

Invalid Input

When did you complete your 8-week mindfulness (MBSR/MBCT) group training as a participant? Please also state the name of your teacher.*

Ongeldige invoer

Did you complete a mindful self-compassion (MSC) training? If yes, please specify when and with whom.*

Ongeldige invoer

If you did not complete the MSC-training, please specify any other compassion training you completed. Please specify name of the training, when and with whom.*

Ongeldige invoer

Please give details of the date, location and teacher name(s) of the 5-day or 8-week MSC course you took as a participant (this should be at least six months prior to the date of the TT-MSC you are applying for).*

Ongeldige invoer

Please attach a copy of your certificate below, if available.

Invalid Input

Choose a file…

Did you complete a mindfulness-based compassionate living course (MBCL)? Was that the 8-week MBCL-course, the 3-day MBCL-introduction, other? Please specify type of training, when and with whom.*

Ongeldige invoer

Do you have prior experience with meditation, mindfulness or compassiontraining? If yes, please give a short overview. *

Ongeldige invoer

What is your daily meditation practice. Please specify frequency, years, tradition.*

Ongeldige invoer

Did you attend silent medition retreats of at least 5 days? If yes, please specify year, lenght, tradition and teacher(s).*

Ongeldige invoer

If you did not complete an 8-week MBCT or MBSR course, did you complete another, similar mindfulness group course? Please describe which one, when and with whome.*

Ongeldige invoer

Have you attended other mindfulness training workshops, such as an MBSR course? Which? When?

Ongeldige invoer

Did you attend retreats before? If yes, please specify when, how long and with whom.

Invalid Input

What experience do you have as a mindfulness trainer? Please specify which type of mindfulness training (MBSR, MBCT, or other) you teached, how many, over which period?*

Ongeldige invoer

Do you work professionally with mindfulness and/or compassion? If yes, please give a short description.*

Ongeldige invoer

Did you teach mindfulness courses in organisations? Please specify (type of training or workshop, target groups, type of organisation).*

Ongeldige invoer

Do you have experience with coaching, training or educating groups in organizations? If yes, please specify (type of training/coahcing, target groups, type of organisation).*

Ongeldige invoer

Please describe your experience in teaching meditation. *

Ongeldige invoer

What experience do you have as an MSC-teacher? How often have you taught the MSC-program?*

Ongeldige invoer

Please describe any experience you have had teaching mindfulness to teens. Please list any mindfulness training/certification you received prior to teaching mindfulness to teens and the age range of the teens with whom you have worked and specifically, experience that ave teaching to groups of teens.*

Ongeldige invoer

Please describe your experience as a teacher and/or educator working with young people in the age of 11-18 years.*

Ongeldige invoer

Have you participated in any teacher training or faculty development that emphasizes small group learning? *

Ongeldige invoer

Please list any other relevant experiences for facilitating mindful practice programs *

Ongeldige invoer

Describe teaching experience you have had with large group presentations, small group teaching and facilitation and teaching meditation*

Ongeldige invoer

Can you tell us about your motivation to participate?*

Ongeldige invoer

Can you tell us why you chose to register for this intensive in stead of the regular 8-week course?*

Ongeldige invoer

Can you tell us about your motivation to follow this MSC-course? Be aware that mindful self-compassion training is meant for personal development and growth.*

Ongeldige invoer

Please describe your motivation and/or reasons for wanting to become a MSC-teacher.*

Ongeldige invoer

Please provide a brief essay introducing yourself and describing your interest in teaching MSC, specifically incorporating your reflections on the essay "On Becoming a MSC Teacher: A Mountaineer’s Guide to Building the Resource of Mindful Self- Compassion" (200 words or less). You can download this essay from the web page on this training, under the heading ‘Required Reading’.*

Ongeldige invoer

Do you have any particular reasons for applying to this teacher training?*

Ongeldige invoer

Can you tell us more about your need for supervision?*

Ongeldige invoer

What do you hope your child will learn from this training?*

Ongeldige invoer

Have you been to a prior Mindful Practice® workshop? When?*

Ongeldige invoer

What are you hoping for by having attended the workshop? What are your goals in attending? Please describe up to three goals. How do you plan to incorporate what you have learned into your professional life? Please share any other information that might be relevant.

Ongeldige invoer

Which teacher training for becoming a mindfulness teacher did you complete? Please specify (date, institute, teacher).*

Ongeldige invoer

Which foundational mindfulness teacher training (CVM, or comparable to ours) did you complete. Please specify (date, institute, teacher).*

Ongeldige invoer

When did you complete your MBCL Teacher Training?*

Ongeldige invoer

When did you complete the 2-day Teacher Training Individual Mindfulness?*

Ongeldige invoer

Are you currently in an intervision group or do you meet a supervisor? Please specify.*

Ongeldige invoer

Are you a member of the professional associations VMBN and/or VVM?*

Yes

Ongeldige invoer

Are you a participant of the platforms www.aandachttraining.info and/or www.zelfcompassie.info?*

Yes

Ongeldige invoer

When did you finish your MSC Teacher Training program (date, location, teachers)? *

Ongeldige invoer

Are you a trained MSC-trainer and registered as such at CMSC?*

Yes

Ongeldige invoer

For non-midwives: before the end date of the MBCP-TT I will have professionally done or attended three deliveries.*

Ongeldige invoer

Have you ever been turned down from an MSC Teacher Training? If yes, what have you done to fulfill the prerequisites since being declined?*

Ongeldige invoer

I agree to meet the ongoing commitments of teaching the .b curriculum and will not teach .b as a public course, ie outside the context of a school, sports club or other educational or youth-related organisations where safeguarding policies and procedures are not in place.*

Yes, I agree

Ongeldige invoer

Please list any mindfulness teacher training and certification you received prior to teaching mindfulness to teens (date, institution, teacher trainer).*

Invalid Input

How would you describe your physical health (i.e excellent, good, fair, poor). If applicable, please specify.*

Ongeldige invoer

Do you have any physical illness or other limitation that may make sitting, standing, walking or doing simple exercises difficult for you?*

Ongeldige invoer

Are there any (mental) ill-health issues or concerns that during this teacher training could be a burden or hindrance for your learning process, participation in the learning group or the teaching of mindfulness to others? If yes, please specifiy.*

Ongeldige invoer

Have you had any mental ill-health issues or concerns within the last few years, such as anxiety or depression? If yes, please describe.*

Ongeldige invoer

Have you had any disturbing life events in the last year, which may make participation in this teacher training difficult for you?*

Ongeldige invoer

Are you currently in psychotherapy? If so, please provide some more information on why and since when.*

Ongeldige invoer

Are you currently taking psychoactive medication, or any medication that may affect how you feel from one week to the next? If so, please describe.*

Ongeldige invoer

Are you currently in treatment of have you been treated for low mood?*

Ongeldige invoer

How would you describe the effect of low mood on your thinking, feeling and behaviour?*

Ongeldige invoer

What is the effect of low mood on your relationships with others (partner, work, friends)?*

Ongeldige invoer

Is there anything that would be helpful for the trainers to know at this time?*

Ongeldige invoer

Is there anything that the trainers should know about your child?*

Ongeldige invoer

What is your duedate?*

Ongeldige invoer

Do you need any special provisions for your participation? If yes, please specify.*

Ongeldige invoer

This teacher training program focuses on building skills specific to MSC which includes a significant amount of constructive feedback while practice teaching. Generally, how do you typically receive such feedback and how do you work with it?*

Ongeldige invoer

MSC can be emotionally activating for participants and requires teachers to be able to emotionally regulate themselves. Can you give a brief example of situations in which you might "lose your balance" while teaching and how you would respond?*

Ongeldige invoer

MSC teachers need to practice what they are teaching. Please privde a brief specific example of how you have used self-compassion and/or the practices of MSC to work with your own difficult emotiones like fear, shame or anger?*

Ongeldige invoer

Do you carry a mental health diagnosis? If yes, how does that impact on your work?*

YesNo

Ongeldige invoer

Do you suffer from a trauma-related disorder?*

YesNo

Ongeldige invoer

If you answered yes to oneof the above, how would you describe your current status?*

CurrentIn partial remissionIn full remission

Ongeldige invoer

How do your symptoms currently manifest and how do they impact on your teaching of mindfulness or other professional work?*

Ongeldige invoer

Dou you experience mental symptoms that impact your daily life and are stressful? If so, please tick off: *

I don't experience mental symptoms

restlessness

uncertainty

fear/panic

depression

low mood

burn-out

self-judgement

inner chaos

rumination

anxiety

other:

This is a required field

Otherwise:*

This is a required field

Do you have any questions for the trainer/teacher?

Ongeldige invoer

Now, click Next.

Answering practical questions and submitting your registration

To provide the best service possible please also answer, if applicable, you choice of hotel room, or let us know you dietary requirements.
We also ask you permission to store your data in our database according our privacy regulations.

Make your choice for accommodation: one person room or two person room, or other.*

Ongeldige invoer

Kamerkeuze kosten*

Ongeldige invoer

Hotel kamer choice amount of persons

Ongeldige invoer

The total amount of costs for this training including optional selected choices are € ,-

Name of person to share room with.

Ongeldige invoer

Do you have dietary requirements? If yes, please specify.*

Ongeldige invoer

I subscribe to the CVM Newsletter

Yes

Ongeldige invoer

I subscribe to CVM's Mindfulness Reminders

Yes

Ongeldige invoer

I subscribe for the CVM Newsletter for Trainers

Yes

Ongeldige invoer

I subscribe to CVM's HR-Newsletter

Yes

Ongeldige invoer

By registering I commit to attend the teacher training dates. The program does bear no responsibility for the loss of teaching days caused by my absence. By registering I agree to the general terms for the teacher training program.*

Yes, I agree

Ongeldige invoer

I understand that the MSC Trained Teacher Pathway consists of three steps: 1. 6-Day MSC Teacher Training program; 2. 10-Week (2.5 hours each session) online Teacher Training Practicum (TTP); 3. 10 1-hour online group consultation sessions while teaching my first 8-week MSC-course (with a minimum of 8 participants and with a co-teacher or assistant). Each of these steps has a cost associated with it and I agree to abide by these steps if I intend to teach MSC and become a Trained Teacher.*

Yes, I agree

Ongeldige invoer

The intention of the MSC Teacher Training is to prepare people to teach the MSC program in the standard 8-week format only and I understand that only Certified MSC Teachers may teach intensive programs or other forms of MSC.*

Yes, I agree

Invalid Input

In the 6-day Teacher Training you will be guided bij MSC teacher trainers. It is possible taht during the week the team will encourage you to strenghten various personal or professional skills prior to enrolling in the Teacher Training Practicum (TTP).*

Yes, I agree

Invalid Input

I agree that my personal details are stored in the database of CVM according to their privacy agreement*

Yes, I agree

Ongeldige invoer

I register for the above mentioned retreat period and it is my intention to follow the retreat guidelines as well as possible. I know that, if there are exercises that I cannot do or don't want to do for whatever reason, I am not obliged to do them. I also understand that I cannot hold responsible the teacher for any harm or injury caused by these exercises.*

Yes, I agree

This field is required

Please describe your question here.

Ongeldige invoer

If you have any remarks, please write them here.

Ongeldige invoer

After answering all questions, please click SUBMIT below and your registration will be send to us.

Druk op spatiebalk om te sluiten