LET’S GET STARTED!

If you’re ready to go on this journey with us, we’re ready to have you! Just fill out the application below, it’s that simple

Please select the specific module (or full course) you would like to sign up for.
SELECT YOUR PREFERENCE*
- FALL 2021: FULL COURSE
- FALL 2021: Module One
- FALL 2021: Module Two
- FALL 2021: Module Three
1. PERSONAL INFORMATION
FIRST NAME*
LAST NAME*
EMAIL ADDRESS*
PHONE*
Date of Birth*
Month
Day
Year
2. MEDITATION BACKGROUND
How long have you been meditating?*
What style(s) of meditation do you practice?*
Please describe any positive changes you have observed since beginning a practice.*
Please describe any challenges that you face, or any obstacles within your practice.*
Have you attended classes at The DEN Meditation before (you will need to attend at least 5 classes for acceptance)?*
- Yes
- No
What do you expect to gain from this program?*
Have you taken any other meditation-based training courses?*
3. HEALTH & PERSONAL HISTORY
Do you have any physical or emotional challenges that could prevent full participation in the program?*
Are you presently under medical or mental health professional care?*
Have you ever been treated or hospitalized by a mental health professional for depression, complex PTSD or severe anxiety?*
- Yes
- No
Are you currently taking any medications to manage any of these conditions or any other mental health conditions?*
- Yes
- No
4. EMERGENCY CONTACT
Please provide an emergency contact.
Full Name*
Phone*
Relationship*
DEN Terms*
- I have read and understand the Terms (Read DEN Terms)

All applications will be reviewed. Filling out the application does not guarantee enrollment, and spaces are limited. You will be notified of acceptance and your spot will be secured upon payment.

By participating in this program, you will definitely have the knowledge, marketing and business skills to start teaching on your own and a DEN masters certificate that lets the community know that you have been trained.

Completion of program does not guarantee employment at The DEN Meditation.

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(323) 424-3444
360 S. La Brea Avenue
Los Angeles CA 90036

LET’S GET STARTED!

1. PERSONAL INFORMATION

2. MEDITATION BACKGROUND

3. HEALTH & PERSONAL HISTORY

4. EMERGENCY CONTACT