Inspire Breathwork: Breathwork Facilitation Application Form 
Thank you for your interest in this course. I are delighted to invite you in. 

At Inspire Breathwork, I am on a mission to cultivate a collective that is deeply committed to attending the wounds of our modern culture, when we connect, we are in each others orbits and we serve together reminding each other of our reasons to be here. I am excited to bring those that qualify alongside me and bring radical change to the wellness space we have all learned is not designed for us.

To ensure that I can assess your eligibility and align your goals with the course offerings, please complete the application form below. Your responses will help me better understand your background, aspirations, and readiness to embark on this beautiful journey. I appreciate the time and effort you invest in completing this application and look forward to reviewing it.

Warmth and love,
Hannah (she/her)
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Full Name and Preferred Names *
Email *
Address *
Phone number *
Social Media & Websites *

Background and Experience: Briefly describe your background, including any relevant education, certifications, or professional experience.



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Communities and Collectives: Please share what communities you are a part of and what brings to think that breathwork may be beneficial in your community.  *


Motivation and Goals: Share your motivations for applying to this course and the goals you hope to achieve upon completion. How do you envision incorporating breathwork into your personal or professional life?

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Commitment, Availability and Accessibility: Indicate your commitment level and availability to complete the course. This includes the ability to attend online sessions, in-person immersions, complete assignments, and actively engage in the learning process.

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Additional Information: If there is any additional information you would like to share that you believe is relevant to your application, please provide it here.


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References: Provide the names and contact information of one or two references who can speak to your character, work ethic, or experience in the field. Please ensure you have their consent to be contacted.


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