2024-25 Professional Certificate in Mindfulness-based Cognitive Therapy Teacher Training-- Application Form and Teacher Training Agreement and other information required by Oxford Mindfulness Foundation (OMF)

Notes for applicants

1) Schedule and mode
Schedule: 28 Sep 2024 to 25 Oct 2025
Mode: face to face mode supplemented by online workshops between courses.

2) Entry Requirements
Applicant should

- hold a Bachelor degree from a recognized university or equivalent professional qualification;

- have completed an 8-week Mindfulness-based Cognitive Therapy for Life course as a participant, led by a teacher in-person or live online, within the last 18 months. If one session was missed, the applicant is still eligible for Teacher Training (TT). However, if more than one session was missed or it has been longer than 18 months since completing the course, it is recommended to retake the 8-week course before pursuing TT

- have regular personal mindfulness practice, ideally for at least a year

- have knowledge and experience of the population and context where you would like to teach, for example, workplace, education, criminal justice, physical or mental healthcare, or general population

- have some knowledge and experience of working with individuals and groups access

- suit technology, internet capacity, space, privacy and the technical ability to join an online training programme via Zoom with video for online workshops

- sign the OMF teacher training agreement and agree to abide by OMF guiding ethical principles

3) Course Terms and Conditions:
(1) 100% Attendance Requirement
Students are required to attend all classes without exception. Absences may result in the student's inability to complete the course successfully.

(2) Course Completion and Makeup
In the event that a student is unable to complete any of the three courses offered in the current academic year due to unforeseen circumstances, they will be required to make up the missed course(s) in the following academic year. The student will be responsible for paying the tuition fees associated with the makeup course(s). The makeup course(s) will be charged on a per-course basis.

(3) Final Decision Authority
The course admin team reserves the right to make final decisions regarding any matters related to the courses, including but not limited to scheduling, content, make up class arrangement and assessment.

Please review and acknowledge your understanding and agreement to these terms and conditions before enrolling in the course.

4) Submission of Application Form
After submitting the online application, supporting documents should be sent to sphpc.mbct@cuhk.edu.hk via email and to the following address by post with an application fee of HK$300 (A crossed personal cheque made payable to: "The Chinese University of Hong Kong").

Course Administrator of "Professional Certificate Programme in MBCT Teacher Training"
Room 426, 4/F, School of Public Health Building, Prince of Wales Hospital
Shatin, N.T., Hong Kong

5) Documents to be submitted
(1) Photocopy of identity card (via email + by post)
(2) Copies of qualification certificates (including Professional Qualifications, Highest Academic Qualifications, 8-week MBCT-L programme attendance certificate and/or other mindfulness programmes attendance certificate, for example, 8-week MBSR/MBCT etc.(via email + by post)
(3) an application fee of HK$300 (A crossed personal cheque made payable to: "The Chinese University of Hong Kong"). (by post)

Original documents must NOT be sent.

6) Application Deadline
The application form and all the supporting documents should be received by the Course Administrator on or before 2 July 2024.

7) Selection Process
Both CUHK and OMF will review the submitted documents. Shortlisted candidates might be invited for an interview.
In the selection process, we will consider both the suitability of the applicants and the date of submission. When applicants have similar levels of suitability for the position, priority may be given to those who submitted their applications earlier. This includes arranging interviews based on the order of application dates as a reference.
Applicants will be notified of the application result when the Programme concerned has made its decision.

8) Tuition Fee Payment
Tuition fee should be paid by cheque within 2 week after confirmation. The tuition fee, once paid, is non-refundable or non-transferable.
Payment(s) should be made by a crossed cheque payable to "The Chinese University of Hong Kong".

Application Fee: HK$300 (non-refundable)
Course Fee: HK$65,000 (non-refundable)
(The cost for board and lodging in the residential retreat in Course 2 is NOT included in the course fee.)

Information and Enquiries
Address:
Room 426, 4/F, School of Public Health Building, Prince of Wales Hospital
Shatin, N.T., Hong Kong

Tel: (852) 2252 8764
WhatsApp: (852) 5262 5665
Email: sphpc.mbct@cuhk.edu.hk

The Programme reserves the right to cancel the course if the number of registered students is insufficient or for other unanticipated reasons.

1PERSONAL PARTICULARS > 2MINDFULNESS BACKGROUND, GOALS AND PROFESSIONAL BACKGROUND > 3TEACHER TRAINING AGREEMENT AND OTHER INFORMATION REQUIRED BY OMF
Name Name First Last
Chinese Name
Sex

Sex Male Female
Date of Birth Date of Birth / MM / DD YYYY
HKID Card No. / Passport No. (If you do not have a HKID card)
Passport Expiry Date Passport Expiry Date / MM / DD YYYY
Correspondence Address Correspondence Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Confirm Email (Please check your spam folder for any missing correspondence from us and add our emails to your safe sender list.)
Mobile Number
Emergency Contact Person & Contact Number
Occupation
Place of Work (Name & Address)
Where did you hear about the event?
Please confirm that you have read, understood and agree to the following:

1. This is an intensive and demanding training that requires resilience, time and commitment, and I am able to undertake it at this time.

Please confirm that you have read, understood and agree to the following:

1. This is an intensive and demanding training that requires resilience, time and commitment, and I am able to undertake it at this time. Please check to confirm
2. As part of our duty of care for you, we require you to have your camera turned on throughout all training sessions. While this training is not a form of therapy, we need to know that you are present and well during the training sessions and we cannot accept you onto the course if you are unable to have your camera on.

2. As part of our duty of care for you, we require you to have your camera turned on throughout all training sessions. While this training is not a form of therapy, we need to know that you are present and well during the training sessions and we cannot accept you onto the course if you are unable to have your camera on. Please check to confirm
Please answer all of the following questions. We recognise that this is a lengthy application and we appreciate your thoughtful responses. Please support us in reviewing the application by limiting the word count as requested.

For some applicants, it may seem a few of the questions in the latter part of this application involve some repetition of information. If you find that questions ask for information you have already provided, please restate it very briefly or simply write, “see above.”

Health Information:
In order to minimise any potential harm to self or others from undertaking this training, we need to ask the following questions:

Please let us know if you:
• Have any physical health condition that might affect your participation in this training
• Have ever experienced depression
• Have ever experienced psychosis
• Have ever experienced a manic or hypomanic episode
• Have ever deliberately harmed yourself
• Have ever attempted to take your own life
• Have experienced events in the past that are still causing you distress
If you have experienced any of the above, please use the text box below to tell us:
• which of these you have experienced
• how many times you have experienced it / them
• when your most recent experience was, how long it lasted, and when it ended
• if it is affecting you now

Please use this space to let us know if any of the above apply. You can be brief here and if necessary, or if you would prefer, the trainer will contact you for further information (Please enter N/A if not applicable)
Please let us know if you are currently:
• Receiving any psychiatric or psychological treatments including talking therapies
o If yes, does your psychiatrist, psychologist, or therapist support your application for this training?
• Taking any medication for physical or psychological conditions
• Dependent on alcohol or drugs to manage everyday life

Please use this space to let us know if any of the above apply. You can be brief here and if necessary, or if you would prefer, the trainer will contact you for further information. (Please enter N/A if not applicable)
Please let us know if you:
• Have any additional learning needs of which we should be aware
• Are currently experiencing any life changes [loss of home or job, moving house, relationship breakdown, too many work commitments etc.]
• Have anything else about your physical or mental health and wellbeing that you would like us to know at this time?

Please use this space to let us know if any of the above apply. You can be brief here and if necessary, or if you would prefer, the trainer will contact you for further information. (Please enter N/A if not applicable)
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