Apply for the Neurodynamic Breathwork Facilitator Training Program

After you submit the Application Form, we’ll contact you to schedule a 30-minute private interview.

    First Name

    Last Name


    Best Contact Phone Number



    Current Occupation:

    How Did You Find Us?

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    Why do you want to participate in this program? What do you hope to achieve? What would you like to do with this training once you are certified?

    What are your strengths and/or gifts that you would bring that will help you become a good facilitator?

    What do you believe are your biggest obstacles you must overcome to become a Breathwork facilitator?

    Please tell us about all past experiences in which you were in a professional role supporting others? (e.g. Have you ever worked in any of the healing professions? Have you ever worked for or supported someone in the healing professions? Have you ever led any groups whose purpose was empowering others?)

    Please tell us about any other past non-professional experiences that might be relevant for breathwork facilitation in which you were supporting others?

    Have you done any other trainings have you done that you believe would support you in becoming a Breathwork facilitator?

    Please evaluate your leadership skills. How would you rate yourself (1 - 10, 1 being lowest, 10 being highest)? What ability would you most like to develop in order to improve your score?

    What is the accomplishment that you are most proud of in your life? Why did you choose this particular accomplishment?

    Is there anything else you would like us to know about you that may be relevant to you participating in this six month facilitator training?


    Before you submit, please click here to view the Contraindications to Breathwork and then answer the final questions below, thank you!

    Please share any of the listed health conditions that you have from the link above.


    If you do not suffer from any of the listed physical and/or psychiatric conditions, please check the box below.