Breatheology Certified Instructor Program

Application Survey

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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

Company (optional)

First Name *

Last Name *

Country* *

Email Address* *

Phone number (+ country code)* *

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* 3. Additional Information

Age

Nationality

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Formal Education

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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?