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Application: Mentorship 1

Before applying, you're required to have arranged for teaching the 8-week MBSR course: dates, etc.

ABOUT YOU

First Name

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Last Name

*

Best phone number to contact you

*

Best e-mail to contact you

*

Class location or "online". Dates and times of all 10 sessions.

*

Who's the population for this course?

*

Include anything else you feel would be helpful, if there's more.