Community Mindfulness Course for BAPOC

Compassionate Leadership Training Programme for Health and Social Care Leaders

6 ONLINE SESSIONS: Thursdays, 3.00-5.00pm on 30 January & 6, 13, 27 February & 6, 13 March 2025. (no session 20 February) Plus monthly follow up sessions 7 April, 8 May, 4 June, 4 July, 18 September, 15 October, 18 November, 8 December 2025. With Robert Marx and Ruth Sequeira.
To help us support you as best we can, please complete the following questions. Most fields are mandatory, however, you are welcome to leave as much or as little detail as you wish. The form will remain confidential to the course organiser and facilitator.

All enquiries to spft.smc@nhs.net.

Personal details
Application form name
This information is for reference only
Full name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Post CodeCountry
Email*
example@example.com
Mobile number*
Example 07770 123456
Do you work for Sussex Partnership Foundation Trust? There are 5 free places for SPFT staff on a first come, first serve basis.*

YesNo
SPFT manager name*
SPFT manager email*
Demand for the course is high and free places are financed by paid for tickets. Please tick the box to confirm that if you are offered a free place, you can commit to attending all the sessions and that you will let your manager know that services are liable for free places that are not used*

Yes
Who is your employer?
Job title*
Months/years in this post*
So we can understand how to best let people know about our work, please tell us where you heard about this training. Please tick all that apply.*

Friend or colleagueSearch engine (google, yahoo etc)Sussex Mindfulness Centre newsletterEvents listing (Mindful.org, Mindful Self-Compassion Centre etc)Social media (Facebook, Twitter etc)Sussex Mindfulness Centre websiteNHS staff newsletter or intranetEmployer staff newsletter or intranetAttending a Sussex Mindfulness Centre eventOther

Further details
1. Please tell us about your leadership role.*
2. Please tell us why you want to attend this course.*
3. Do you have any experience of mindfulness or compassion-based practice? Please outline this briefly if so.
4. Can you attend all 6 sessions? If not, which ones can you not make?*
5. Can you find 15-30 minutes most days to do the home practice?*

YesNo
If ‘no’, please explain
6. Have you had any disturbing, or unusually stressful incidents in your life recently that it would be helpful for us to know about?*
7. Please do let us know if you may need any assistance of any kind during the training
8. Is there anything else we should know about that would help us support you to get what you want out of the course? *
9. Would you like to be added to the Sussex Mindfulness Centre email list to stay aware of our future events, groups and training? (We will not pass your details on to anyone else outside of SMC.)*

YesNoAlready on the list
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Compassionate Leadership Training Programme for Health and Social Care Leaders