Compassion Registration - Maitri Centre

URL
This field is for validation purposes and should be left unchanged.
Name*
First Last
Email*
Phone Number*
Day*
Choose day for phone interview
Time
Preferred time for Phone Interview

: Hours

Minutes

AM/PM
Interest*
Briefly describe your interest for participating in this training
Experience*
Do you practice mindfulness and/or meditation? If so, specify types and how many months/years. If you are new to all this don't worry that's great!
Occupation*
Please state your occupation.
Health*
How would you describe your physical health? Please let us know if you have any special needs (physical, learning, other.)
Other
If there is anything else that would be helpful for the instructors to know at this time in order to be best able to ensure you enjoyment in the program? (such as bereavement, divorce, job loss, or any other major change or conditions.)