Teacher Program Application

Embarking on a transformative journey to become a certified meditation teacher—one step closer to the career you deserve while empowering others to find peace and balance.

Personal Information

Surname

Name

E‑mail

Téléphone

Date of Birth

Month

Day

Year

Adresse multiligne

Country/Region

Address

City

Zip / Postal code

Business Information

Business Name

Only if a business invoice is required

Tax Number

Optional

Adresse multiligne

Country/Region

Address

City

Zip / Postal code

Professional Background

Current Occupation

Previous Work Experience

Any Experience in Coaching, Teaching, or Mentorship? (Yes/No, Explain)

Have you practiced meditation before? (Yes/No, Describe your practice)

Have you received any prior training in mindfulness, Zen, or coaching? (Yes/No, Provide details)

Motivation & Personal Goals

Why do you want to become a Zen coach?

What impact do you hope to make with this certification?

How does Zen practice fit into your personal and professional life?

Training & Education

Highest Level of Education Completed

Relevant Certifications (Yoga, Meditation, Coaching, Therapy, etc.)

Preferred Course Format and Level

“I am a candidate for the following course and hereby confirm my intent to apply.”

Zen Coach 101 6 weeks Online Program - 1500€

Please select your desired start date

Month

Day

Year

Additional Information

Do you have any health conditions or special needs we should be aware of?

Any other relevant information you’d like to share?

Consent & Agreement

Agreement to Program Terms & Conditions

Consent for Data Usage

I confirm that I am applying for the course.

After your application form has been successfully validated, you will be redirected to our payment provider, Stripe, to pay a €250 deposit to secure your seat in the certification course. A member of our team will then review your application and confirm your official start date. The remaining balance will be due before the course begins.