Mindfulness Based Peer Coach Training (MBPCT) Application

Welcome to the Peer Coach application page! This process will require a significant effort on the part of the applicant.

Please email Richard (richard@mindfulbadge.com) with any questions as you navigate this process. We will do our best to work with you and be sure you have all the information necessary to complete the application.

STEP 1

You will complete this form AND upload the following documents:

  • Letter of Interest

  • 2 Professional Letters of Recommendation

  • Resume/CV

Please review the instructions carefully and be sure to provide us detailed information. If you would prefer to email your files, please send them to richard@mindfulbadge.com immediately following your submission of this form.

STEP 2

After submitting this form, you will also be redirected to pay the non-refundable $50 application fee.

Pete Kirchmer and Richard Goerling will review applicant information. If we need further details we will be in touch. We expect to make final selections into this training program and will send emails to each applicant advising of decisions.


Step 1: Application & Documents

Name *
Name
Please describe your primary employment, employer and brief description of duties.
Phone *
Phone
Please provide a mobile phone number where we can reach you via voice and text message.
Mailing Address *
Mailing Address
About This Training *
As explained in the overview section, this program is an intensive introduction to mindfulness skill building. Participants will be equipped to coach peers in mindfulness skill development, to champion the integration of mindfulness within an organization, and to develop strategies of micro-training that help sustain more in-depth mindfulness training from certified mindfulness trainers. This is not a certified mindfulness training program. Our training curriculum is considered intellectual property and, as such, protected under state and federal copyright laws.
Letter of Interest upload
This letter must describe a summary of your background, to include, but not limited to the following: • Why you are applying to this program? • How you meet the requirements for application? • How you have prepared yourself to journey through this training? • What you seek to do with the knowledge and skills gained from this training? • What your vision for mindfulness looks like. • Challenges you will face in this training program and strategies to overcome them. • Any other relevant information to support your application. Note: Please re-name all files to include your name before uploading to ensure they are included with your application. Ex:John-Smith-Interest.pdf
Letters of Recommendation (2 Required) upload
The two professional letters of recommendation should speak to the observations and experiences of the writer regarding: • Your commitment to be successful in this training program • Your previous work around mindfulness in organizations • Your ability to navigate challenges • Your capacity for teamwork outside of your own organization • Other relevant information Note: Please re-name all files to include your name before uploading to ensure they are included with your application. Ex:John-Smith-Recommendation1.pdf
CV/Resume upload
Your submission should list your relevant training in mindfulness and in instructional technologies. Note: Please re-name all files to include your name before uploading to ensure they are included with your application. Ex:John-Smith-CV.pdf