Autumn 2018 Application

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* 1. Personal motivation: Please tell us why you would like to become a Certified Breatheology Instructor?

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* 2. Please fill out the following so we can follow up with you

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* 3. Additional Information

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* 4. The nature and main area of your teaching/coaching experience (basically what you do and who you work with)?

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* 5. Years of teacher/coaching experience?

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* 6. Do you run your own company? (please provide company website and your position)

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* 7. If no, do you work for a company or institution? (please provide website and your position)


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* 8. Future goals and dreams (both personal and business) - what is your biggest passion and how do you want to change the world?

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* 9. Besides becoming a Breatheology Instructor, how can we best help and support you?

The LIVE Breatheology Instructor Certification Workshop will be held in Denmark from Friday 23rd - 25th November 2018.

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* 10. Please confirm below that you can attend on these specific dates?

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