Please complete the application with as much information as possible

Below is the application form to apply for listing on the ACCESSMBCT Register. Please complete the application with as much information as possible.

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* Personal Information

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* First Name

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* Middle Name

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* Last Name

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* Display Name
Name you would like to be displayed on register (we will use first name and last name unless you advise us otherwise)

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* Email address
This will be displayed alongside your details - this is a compulsory field for the register and will be publicly displayed

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* Contact number
This will not be displayed on the website and is for our purposes only

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* Website
This will be displayed alongside your details - leave blank if you do not wish to share your website details

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* For the purposes of the register we will display only your city and country. Please enter these details below

Country

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* For the purposes of the register we will display only your city and country. Please enter these details below

City / Nearest City

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* MBCT Teacher Training

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* Please provide details about the main MBCT teacher training you completed, specifically:

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* Meditation

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* Do you have prior training in the practice of Vipassana or Insight Meditation?

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* How long have you been practicing mindfulness meditation?

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* Qualifications

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* Do you hold a degree in mental health related field such as clinical psychology, medicine, social work or counselling, other?

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* If yes, please list your degree and profession. If no, then list your other qualifications for review

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* Key Competencies

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* Please detail your knowledge and key competencies to deliver a structured therapeutic approach. Individuals who teach MBCT to non-clinical populations and/or in non-clinical contexts please provide information to support an evaluation of your educational and vocational background with the intended population/context. This may include additional training for example ethics and safeguarding/risk assessment and management, etc.

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* Introduction to MBCT

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* Have you attended an MBCT Introductory Lecture/Workshop?

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* Understanding of Depression

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* Do you have an understanding of causes and treatments for depression/mood disorders?

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* Participation in an MBCT Program

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* Have you attended a structured 8-week MBCT program as a participant or have you completed the 8 week online MMBPro?

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* Group Facilitation

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* Do you have any experience facilitating therapy in groups or working with group process?

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* Teaching MBCT

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* Have you taught at least two 8 week MBCT groups?

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* Supervision / Mentorship

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* Have you received a minimum of 20 hours of mentorship/supervision from a recognized MBCT mentor/supervisor?

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* If you have received supervision please advise:

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* Do you give permission for ACCESSMBCT Team to contact your mentor / supervisor if there are any queries in support of your application?

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* All applications will be reviewed within 30 days of submission

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