SPFT staff application form for 8-week SMC mindfulness course

Eight-week mindfulness course for nurse advocates

ONLINE: Mindfulness Based Cognitive Therapy course (MBCT). Wednesdays, 2-4pm. Orientation session: 26 February. Eight-week course dates: 5, 12 & 26 March, 2, 9, 16, 23 & 30 April (no session 19 March)
All enquiries to spft.smc@nhs.net.
- Application form name
  This information is for reference only
- Full name*
  
  First NameLast Name
- Organisation name*
- Job title*
- Months/years in this post*
- Correspondence address*
  
  Street Address
  
  Street Address Line 2
  
  CityCounty
  
  Post CodeCountry
- Email*
  example@example.com
- Mobile number*
  Example 07770 123456Format: 00000-000000.
- Please tell us about your role*
- Why do you want to attend this course?*
- Do you have any experience of mindfulness or compassion-based practice? Please outline this briefly if so.
- YesNo
- If ‘yes’, please explain
- Have you had any disturbing, or unusually stressful incidents in your life recently, or any significant physical or mental health challenges, that it would be helpful for us to know about?*
- Is there anything else we should know about that would help us support you to get what you want out of the course?
- Please do let us know if you may need any assistance of any kind during the training
- YesNoAlready on list
- Should be Empty:

Eight-week mindfulness course for nurse advocates