Integration Facilitator Training Application

    Apply for the Experience to Action Facilitator Training

    First Name*

    Last Name*

    Please enter your email*

    Please upload your resume*

    Pleaes upload a short motivation letter (~ 300 words)*

    What is your age?*

    What is your professional background? (please specify academic degree and profession)*

    What kind of groups have you been facilitating*
    EducationalAcademicTherapeuticOrganisationalMeditation, Yoga, Martial Arts, Mindfullness PracticeOther

    How long have you been facilitating groups?*
    0 - 2 years2 - 4 years4 - 6 years>6 years

    How many groups have you facilitated in your life?*
    up to 5up to 12more than 12

    In which of the following roles are you most experienced?*
    SupportCo-leadingLeading

    Describe your self-experience with altered states of consciousness*
    (both substance and/or non-substance induced)

    Do you have a personal webpage? LinkedIN, Facebook profile?

    Please indicate that you have read, understood, and accepted the code of conduct.*