SPFT staff application form for 8-week SMC mindfulness course

SPFT staff application form for eight-week mindfulness courses

All courses are online and are nine weeks in total, including the orientation session. Please find the list of course options to choose from at the bottom of the form.
To help us support you as best we can, please complete the following questions. Most fields are mandatory - please do leave as much detail as you can and state if you would like to arrange to speak with the course facilitator privately if preferred. 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
Job title*
Correspondence address*

Street Address

Street Address Line 2

CityCounty

Post CodeCountry
Email*
example@example.com
Please add a second work or personal email if you'd like course information sent to both addresses:
example@example.com
Mobile number*
Example 07770 123456
How should we contact you if you do not attend a course session? Please give a number and/or email. (Please note, you may not be at work if sick, for example.) *

SPFT staff application form for eight-week mindfulness courses