{"id":25122,"date":"2018-03-12T11:31:54","date_gmt":"2018-03-12T11:31:54","guid":{"rendered":"http:\/\/dev.converticacommerce.com\/misp-dev\/?page_id=25122"},"modified":"2025-08-05T21:12:45","modified_gmt":"2025-08-05T21:12:45","slug":"begin-application","status":"publish","type":"page","link":"https:\/\/mindfulnessinschools.org\/form\/begin-application\/","title":{"rendered":".begin Application"},"content":{"rendered":"<h2 class=\"page-title text-align-center\"><strong><span style=\"color: #ff0000;\">.<\/span><span style=\"color: #274368;\">begin<\/span><\/strong> Application<\/h2>\n<div class=\"js-step\">\n<h4><span style=\"font-weight: 400;\">When you apply for your <strong><span style=\"color: #ff0000;\">.<\/span><span style=\"color: #274368;\">begin<\/span><\/strong> <\/span><span style=\"font-weight: 400;\">\u00a0course you can use the same application form to apply for a <\/span><b>Train to Teach<\/b><span style=\"font-weight: 400;\"> course. <\/span><b><i>Just make sure the Train to Teach course you select starts after your <\/i><\/b><span style=\"font-weight: 400;\"><strong><span style=\"color: #ff0000;\">.<\/span><span style=\"color: #274368;\">begin <\/span><\/strong><\/span><b><i>course has finished e.g. If your .begin course ends in November you can apply for a Train to Teach course that starts in January.<\/i><\/b><\/h4>\n<h3>Course prerequisites<\/h3>\n<p><strong>Applicants must:<\/strong><\/p>\n<ol>\n<li>Complete the application form themselves and not completed by someone else on their behalf in order to be accepted.<\/li>\n<li>Be employed by a school or work within an educational setting on a regular basis\u00a0<em>or<\/em>\u00a0be the parent or carer of a child still in education. Please note School Governors and those who volunteer regularly in a school (including parent volunteers) are eligible to apply.\u00a0You are also eligible to apply if you have an interest in supporting your own wellbeing even if you do not work in an educational setting or do not have a child in education. <strong>If you are unsure whether you are eligible please email <a href=\"mailto:enquiries@mindfulnessinschools.org\">enquiries@mindfulnessinschools.org<\/a>.<\/strong><\/li>\n<li>Be attending this course willingly, by personal choice. This course requires active participation and commitment and if you are here because your employer\/school has mandated it please let us know via email <a href=\"mailto:enquiries@mindfulnessinschools.org\">enquiries@mindfulnessinschools.org<\/a>.<\/li>\n<li>Be over 18 years of age<\/li>\n<li>Be able to commit to the dates and times of the online sessions<\/li>\n<li>Have access to a computer or laptop with a webcam and have a good broadband speed capable of running Zoom, <a href=\"https:\/\/support.zoom.us\/hc\/en-us\/articles\/201362023-System-Requirements-for-PC-Mac-and-Linux\" target=\"_blank\" rel=\"noopener noreferrer\">click here<\/a> to check technical requirements.<br \/>\nNB: Participants will be expected to keep webcams <strong>on<\/strong> during the course.<\/li>\n<li>Understand that this course is not intended as a therapeutic intervention. Should you have any concerns regarding your mental or physical health, please see your GP or other medical advisors.\u00a0 A member of the MiSP team may contact you to discuss your application and ensure this is the right time for you to be doing the course.<\/li>\n<li>Whilst<strong> .begin<\/strong>\u00a0is designed for participants who have\u00a0not\u00a0previously taken part in an eight-week secular mindfulness training course, applicants who have already done an 8-week course and wish to take <strong>.begin<\/strong> as a refresher are still very welcome.<\/li>\n<li>Understand that <strong>.begin<\/strong> does <strong><u>not<\/u><\/strong> involve training to teach mindfulness to young people or adults. It is an introduction to mindfulness for the purpose of supporting participants in terms of their own understanding of mindfulness and general wellbeing.<\/li>\n<\/ol>\n<div class=\"display-table\">\n<div class=\"display-table-cell vertical-align-top\">\n<div class=\"checkbox\"><\/div>\n<\/div>\n<div class=\"display-table-cell vertical-align-top\">\n<p class=\"confirm-text\">I confirm that I meet the prerequisites listed above.<\/p>\n<\/div>\n<\/div>\n<h3 style=\"padding-top: 30px;\"><strong><span style=\"color: #ff0000;\">.<\/span><span style=\"color: #274368;\">begin<\/span><\/strong> is an introduction to mindfulness for your own wellbeing<\/h3>\n<div class=\"display-table\">\n<div class=\"display-table-cell vertical-align-top\">\n<div class=\"checkbox\"><\/div>\n<\/div>\n<div class=\"display-table-cell vertical-align-top\">\n<p class=\"confirm-text\">I understand that <strong><span style=\"color: #ff0000;\">.<\/span><span style=\"color: #274368;\">begin<\/span><\/strong> does not involve training to teach mindfulness to young people or adults.<\/p>\n<\/div>\n<\/div>\n<h3 style=\"padding-top: 30px;\">Medical acknowledgment<\/h3>\n<p>Please confirm that you understand that this course is not a substitute for any medical treatment you might need. If you have recently experienced trauma, bereavement, severe depression or any other mental or physical health condition, please confirm that you have consulted with a medical practitioner that attending a <strong><span style=\"color: #ff0000;\">.<\/span><span style=\"color: #274368;\">begin<\/span><\/strong> course is appropriate for you.<\/p>\n<div class=\"display-table\">\n<div class=\"display-table-cell vertical-align-top\">\n<div class=\"checkbox\"><\/div>\n<\/div>\n<div class=\"display-table-cell vertical-align-top\">\n<p class=\"confirm-text\">I have read the information above and confirm I understand that this course is not a substitute for any medical treatment I might need. I agree that if I have, or have recently had, difficult life experiences, or symptoms of physical or mental ill-health including trauma, bereavement, severe depression or any other mental or physical health condition, it is my responsibility to consult with my doctor and\/or other healthcare professionals and follow their advice. I understand that course instructors are not able to offer therapeutic support.<\/p>\n<\/div>\n<\/div>\n<h3 style=\"padding-top: 30px;\">Terms &amp; Conditions<\/h3>\n<p>Please confirm that you have read and agree to the <a href=\"https:\/\/mindfulnessinschools.org\/terms-conditions\/begin\/\" target=\"_blank\" rel=\"noopener noreferrer\">Terms &amp; Conditions<\/a> for booking a <strong><span style=\"color: #ff0000;\">.<\/span><span style=\"color: #274368;\">begin<\/span><\/strong> course.<\/p>\n<div class=\"display-table\">\n<div class=\"display-table-cell vertical-align-top\" style=\"width: 0;\">\n<div class=\"checkbox\"><\/div>\n<\/div>\n<div class=\"display-table-cell vertical-align-top\">\n<p class=\"confirm-text\">I have read and agree to the <a class=\"bluelink\" href=\"https:\/\/mindfulnessinschools.org\/terms-conditions\/begin\/\" target=\"_blank\" rel=\"noopener noreferrer\">Terms &amp; Conditions<\/a> for booking a <strong><span style=\"color: #ff0000;\">.<\/span><span style=\"color: #274368;\">begin<\/span><\/strong> course.<\/p>\n<\/div>\n<div class=\"display-table-cell\"><\/div>\n<\/div>\n<div class=\"display-table\">\n<div class=\"display-table-cell vertical-align-top\">\n<div class=\"checkbox\"><\/div>\n<\/div>\n<div class=\"display-table-cell vertical-align-top\">\n<p class=\"confirm-text\">I have read and agree to MiSP using my data for the purposes set out in the <a href=\"https:\/\/mindfulnessinschools.org\/privacy-policy\/\" target=\"_blank\" rel=\"noopener noreferrer\">Privacy Notice<\/a>.<\/p>\n<\/div>\n<div class=\"display-table-cell vertical-align-top\"><button class=\"button button-blue js-next\" disabled=\"disabled\">Next<\/button><\/div>\n<\/div>\n<\/div>\n<div class=\"js-step hide\">\n<h3 style=\"text-align: center;\">3. Complete the Application Form<\/h3>\n<p style=\"text-align: center;\">Please read each question carefully, and respond as <strong>fully<\/strong> and <strong>accurately<\/strong> as possible.<\/p>\n<p style=\"text-align: center;\"><strong>Application form must be completed by the applicant<\/strong> and not someone else on their behalf in order to be accepted.<\/p>\n<div class=\"form-wrap\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_116' style='display:none'><div id='gf_116' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_116' id='gform_116'  action='\/wp-json\/wp\/v2\/pages\/25122#gf_116' data-formid='116' novalidate><div id=\"payments-sdk__contingency-lightbox\"><\/div>\n                        <div class='gform-body gform_body'><ul id='gform_fields_116' class='gform_fields top_label form_sublabel_above description_below validation_below'><li id=\"field_116_96\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"specialbox grey\" style=\"margin:0;text-align:center\"><\/strong>Please select a course from the drop down menu before proceeding with your application.<\/strong><\/div><\/li><li id=\"field_116_6\" class=\"gfield gfield--type-select gfield--input-type-select wp_course_dates gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_6'>Please select the .begin course you are applying for<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_116_6' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select course<\/option><option value='.begin \u2013 ONLINE \u2013 13 Jan 2026' >.begin \u2013 ONLINE \u2013 13 Jan 2026<\/option><option value='.begin \u2013 ONLINE \u2013 14 Jan 2026' >.begin \u2013 ONLINE \u2013 14 Jan 2026<\/option><option value='.begin (daytime course) \u2013 ONLINE \u2013 15 Jan 2026' >.begin (daytime course) \u2013 ONLINE \u2013 15 Jan 2026<\/option><option value='.begin \u2013 ONLINE \u2013 21 Apr 2026' >.begin \u2013 ONLINE \u2013 21 Apr 2026<\/option><option value='.begin \u2013 ONLINE \u2013 22 Apr 2026' >.begin \u2013 ONLINE \u2013 22 Apr 2026<\/option><option value='.begin (daytime course) \u2013 ONLINE \u2013 22 Apr 2026' >.begin (daytime course) \u2013 ONLINE \u2013 22 Apr 2026<\/option><\/select><\/div><\/li><li id=\"field_116_105\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div style=\"margin-bottom: -10px; line-height: 1.3; font-size: 15px;\"><em>You can apply for .begin and a Train to Teach course at the same time but the Train to Teach course must start after your .begin course has finished e.g. If your .begin course ends in November you can apply for a Train to Teach course that starts in January.<\/em><\/div><\/li><li id=\"field_116_107\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Would you like to apply for a Train to Teach course?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_116_107'>\n\t\t\t<li class='gchoice gchoice_116_107_0'>\n\t\t\t\t<input name='input_107' type='radio' value='Yes'  id='choice_116_107_0'    \/>\n\t\t\t\t<label for='choice_116_107_0' id='label_116_107_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_107_1'>\n\t\t\t\t<input name='input_107' type='radio' value='No'  id='choice_116_107_1'    \/>\n\t\t\t\t<label for='choice_116_107_1' id='label_116_107_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_116_104\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full wp_custom_begin_courses gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_104'>Which Train to Teach course would you like to apply for?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_104' id='input_116_104' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Select course' >Select course<\/option><option value='--- Teach dots ---' >--- Teach dots ---<\/option><option value='Teach dots (8 week evening course) \u2014 (3-6) \u2014 21\/01\/2026' >Teach dots (8 week evening course) \u2014 (3-6) \u2014 21\/01\/2026<\/option><option value='Teach dots (8 week daytime course) \u2014 (3-6) \u2014 21\/01\/2026' >Teach dots (8 week daytime course) \u2014 (3-6) \u2014 21\/01\/2026<\/option><option value='Teach dots \u2014 (3-6) \u2014 27\/01\/2026' >Teach dots \u2014 (3-6) \u2014 27\/01\/2026<\/option><option value='Teach dots \u2014 (3-6) \u2014 28\/04\/2026' >Teach dots \u2014 (3-6) \u2014 28\/04\/2026<\/option><option value='Teach dots (8 week daytime course) \u2014 (3-6) \u2014 29\/04\/2026' >Teach dots (8 week daytime course) \u2014 (3-6) \u2014 29\/04\/2026<\/option><option value='Teach dots (8 week evening course) \u2014 (3-6) \u2014 29\/04\/2026' >Teach dots (8 week evening course) \u2014 (3-6) \u2014 29\/04\/2026<\/option><option value='--- Teach Paws b ---' >--- Teach Paws b ---<\/option><option value='Teach Paws b (8 week evening course) \u2014 (7-11) \u2014 21\/01\/2026' >Teach Paws b (8 week evening course) \u2014 (7-11) \u2014 21\/01\/2026<\/option><option value='Teach Paws b (8 week daytime course) \u2014 (7-11) \u2014 22\/01\/2026' >Teach Paws b (8 week daytime course) \u2014 (7-11) \u2014 22\/01\/2026<\/option><option value='Teach Paws b \u2014 (7-11) \u2014 10\/02\/2026' >Teach Paws b \u2014 (7-11) \u2014 10\/02\/2026<\/option><option value='Teach Paws b (8 week evening course) \u2014 (7-11) \u2014 29\/04\/2026' >Teach Paws b (8 week evening course) \u2014 (7-11) \u2014 29\/04\/2026<\/option><option value='Teach Paws b (8 week daytime course) \u2014 (7-11) \u2014 30\/04\/2026' >Teach Paws b (8 week daytime course) \u2014 (7-11) \u2014 30\/04\/2026<\/option><option value='Teach Paws b \u2014 (7-11) \u2014 12\/05\/2026' >Teach Paws b \u2014 (7-11) \u2014 12\/05\/2026<\/option><option value='--- The Present ---' >--- The Present ---<\/option><option value='Teach The Present (8 week daytime course) \u2014 (3-12) \u2014 19\/01\/2026' >Teach The Present (8 week daytime course) \u2014 (3-12) \u2014 19\/01\/2026<\/option><option value='Teach The Present \u2014 (3-12) \u2014 24\/03\/2026' >Teach The Present \u2014 (3-12) \u2014 24\/03\/2026<\/option><option value='Teach The Present (8 week daytime course) \u2014 (3-12) \u2014 27\/04\/2026' >Teach The Present (8 week daytime course) \u2014 (3-12) \u2014 27\/04\/2026<\/option><option value='Teach The Present (8 week evening course) \u2014 (3-12) \u2014 27\/04\/2026' >Teach The Present (8 week evening course) \u2014 (3-12) \u2014 27\/04\/2026<\/option><option value='Teach The Present \u2014 (3-12) \u2014 30\/06\/2026' >Teach The Present \u2014 (3-12) \u2014 30\/06\/2026<\/option><option value='--- Teach .b ---' >--- Teach .b ---<\/option><option value='Teach .b (8 week evening course) \u2014 (11-18) \u2014 20\/01\/2026' >Teach .b (8 week evening course) \u2014 (11-18) \u2014 20\/01\/2026<\/option><option value='Teach .b (8 week daytime course) \u2014 (11-18) \u2014 20\/01\/2026' >Teach .b (8 week daytime course) \u2014 (11-18) \u2014 20\/01\/2026<\/option><option value='Teach .b \u2014 (11-18) \u2014 10\/03\/2026' >Teach .b \u2014 (11-18) \u2014 10\/03\/2026<\/option><option value='Teach .b (8 week daytime course) \u2014 (11-18) \u2014 28\/04\/2026' >Teach .b (8 week daytime course) \u2014 (11-18) \u2014 28\/04\/2026<\/option><option value='Teach .b (8 week evening course) \u2014 (11-18) \u2014 28\/04\/2026' >Teach .b (8 week evening course) \u2014 (11-18) \u2014 28\/04\/2026<\/option><option value='Teach .b \u2014 (11-18) \u2014 16\/06\/2026' >Teach .b \u2014 (11-18) \u2014 16\/06\/2026<\/option><\/select><\/div><\/li><li id=\"field_116_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_left_align gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_1'>Name (First name and Surname. This will be the name used on your certificate)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_116_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield_left_align gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_19'>Email address for course communication<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_116_19' type='text' value='' class='medium'  aria-describedby=\"gfield_description_116_19\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_116_19'>Please check you have typed this correctly.<\/div><\/li><li id=\"field_116_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield_left_align gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_20'>House number or name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_116_20' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_3\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_left_align gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_3'>Street<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_116_3' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield_left_align gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_4'>Town or City<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_116_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield_left_align gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_5'>County or state<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_116_5' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield_left_align gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_7'>Postcode<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_116_7' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_9\" class=\"gfield gfield--type-select gfield--input-type-select gfield_left_align gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_9'>Country<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_116_9' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected'>Please select<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='' >\u2014<\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Brazil' >Brazil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czech Republic' >Czech Republic<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='East Timor' >East Timor<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='North Korea' >North Korea<\/option><option value='South Korea' >South Korea<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Laos' >Laos<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russia' >Russia<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Sudan, South' >Sudan, South<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria' >Syria<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Thailand' >Thailand<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkey' >Turkey<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Vatican City' >Vatican City<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select><\/div><\/li><li id=\"field_116_78\" class=\"gfield gfield--type-select gfield--input-type-select gfield_left_align gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_78'>Region<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_78' id='input_116_78' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >Please select<\/option><option value='Eastern England' >Eastern England<\/option><option value='East Midlands' >East Midlands<\/option><option value='London' >London<\/option><option value='North East England' >North East England<\/option><option value='North West England' >North West England<\/option><option value='South East England' >South East England<\/option><option value='South West England' >South West England<\/option><option value='West Midlands' >West Midlands<\/option><option value='Yorkshire and the Humber' >Yorkshire and the Humber<\/option><option value='Scotland' >Scotland<\/option><option value='Wales' >Wales<\/option><option value='Northern Ireland' >Northern Ireland<\/option><option value='Channel Islands' >Channel Islands<\/option><option value='Non-UK' >Non-UK<\/option><\/select><\/div><\/li><li id=\"field_116_24\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_24'>Home telephone number (please include country code)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_116_24' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_25\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_25'>Mobile telephone number (please include country code)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_116_25' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_13\" class=\"gfield gfield--type-section gfield--input-type-section gsection margin-bottom-reduce field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Emergency Contact name and number whilst on the course:<\/h2><\/li><li id=\"field_116_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield_left_align gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_17'>Emergency Contact Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_116_17' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield_left_align gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_18'>Emergency Contact Landline No:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_116_18' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_76\" class=\"gfield gfield--type-text gfield--input-type-text gfield_left_align gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_76'>Emergency Contact Mobile No:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_116_76' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_77\" class=\"gfield gfield--type-section gfield--input-type-section gsection margin-bottom-reduce field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Your employment:<\/h2><\/li><li id=\"field_116_26\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_26'>Your Profession (N\/A if not applicable)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_116_26' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_27\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_27'>Name of your employer (N\/A if not applicable)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_116_27' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_80\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_80'>Postcode of your employer (N\/A if not applicable)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_80' id='input_116_80' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Is your employer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_116_39'>\n\t\t\t<li class='gchoice gchoice_116_39_0'>\n\t\t\t\t<input name='input_39' type='radio' value='A maintained school (incl. grammar school) or academy chain in the UK'  id='choice_116_39_0'    \/>\n\t\t\t\t<label for='choice_116_39_0' id='label_116_39_0' class='gform-field-label gform-field-label--type-inline'>A maintained school (incl. grammar school) or academy chain in the UK<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_39_1'>\n\t\t\t\t<input name='input_39' type='radio' value='An independent school in the UK'  id='choice_116_39_1'    \/>\n\t\t\t\t<label for='choice_116_39_1' id='label_116_39_1' class='gform-field-label gform-field-label--type-inline'>An independent school in the UK<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_39_2'>\n\t\t\t\t<input name='input_39' type='radio' value='A council, LEA or other governmental body'  id='choice_116_39_2'    \/>\n\t\t\t\t<label for='choice_116_39_2' id='label_116_39_2' class='gform-field-label gform-field-label--type-inline'>A council, LEA or other governmental body<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_39_3'>\n\t\t\t\t<input name='input_39' type='radio' value='A non-UK school or other international educational body'  id='choice_116_39_3'    \/>\n\t\t\t\t<label for='choice_116_39_3' id='label_116_39_3' class='gform-field-label gform-field-label--type-inline'>A non-UK school or other international educational body<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_39_4'>\n\t\t\t\t<input name='input_39' type='radio' value='I am self-employed'  id='choice_116_39_4'    \/>\n\t\t\t\t<label for='choice_116_39_4' id='label_116_39_4' class='gform-field-label gform-field-label--type-inline'>I am self-employed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_39_5'>\n\t\t\t\t<input name='input_39' type='radio' value='gf_other_choice'  id='choice_116_39_5'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_116_39_other' name='input_39_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_116_88\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Is your setting<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_116_88'>\n\t\t\t<li class='gchoice gchoice_116_88_0'>\n\t\t\t\t<input name='input_88' type='radio' value='Primary'  id='choice_116_88_0'    \/>\n\t\t\t\t<label for='choice_116_88_0' id='label_116_88_0' class='gform-field-label gform-field-label--type-inline'>Primary<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_88_1'>\n\t\t\t\t<input name='input_88' type='radio' value='Secondary'  id='choice_116_88_1'    \/>\n\t\t\t\t<label for='choice_116_88_1' id='label_116_88_1' class='gform-field-label gform-field-label--type-inline'>Secondary<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_88_2'>\n\t\t\t\t<input name='input_88' type='radio' value='Post-16'  id='choice_116_88_2'    \/>\n\t\t\t\t<label for='choice_116_88_2' id='label_116_88_2' class='gform-field-label gform-field-label--type-inline'>Post-16<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_88_3'>\n\t\t\t\t<input name='input_88' type='radio' value='Special School\/ SEN'  id='choice_116_88_3'    \/>\n\t\t\t\t<label for='choice_116_88_3' id='label_116_88_3' class='gform-field-label gform-field-label--type-inline'>Special School\/ SEN<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_88_4'>\n\t\t\t\t<input name='input_88' type='radio' value='Alternative Provision'  id='choice_116_88_4'    \/>\n\t\t\t\t<label for='choice_116_88_4' id='label_116_88_4' class='gform-field-label gform-field-label--type-inline'>Alternative Provision<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_88_5'>\n\t\t\t\t<input name='input_88' type='radio' value='NHS'  id='choice_116_88_5'    \/>\n\t\t\t\t<label for='choice_116_88_5' id='label_116_88_5' class='gform-field-label gform-field-label--type-inline'>NHS<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_88_6'>\n\t\t\t\t<input name='input_88' type='radio' value='Charity'  id='choice_116_88_6'    \/>\n\t\t\t\t<label for='choice_116_88_6' id='label_116_88_6' class='gform-field-label gform-field-label--type-inline'>Charity<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_88_7'>\n\t\t\t\t<input name='input_88' type='radio' value='Other'  id='choice_116_88_7'    \/>\n\t\t\t\t<label for='choice_116_88_7' id='label_116_88_7' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_88_8'>\n\t\t\t\t<input name='input_88' type='radio' value='Not applicable'  id='choice_116_88_8'    \/>\n\t\t\t\t<label for='choice_116_88_8' id='label_116_88_8' class='gform-field-label gform-field-label--type-inline'>Not applicable<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_88_9'>\n\t\t\t\t<input name='input_88' type='radio' value='gf_other_choice'  id='choice_116_88_9'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_116_88_other' name='input_88_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_116_98\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_98'>Please specify<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_98' id='input_116_98' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_81\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_81'>Name of school or place of work (N\/A if not applicable)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_81' id='input_116_81' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_82\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_82'>Postcode of school or place of work (N\/A if not applicable)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_82' id='input_116_82' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_45\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"specialheader\" style=\"margin-bottom:15px;margin-top:10px\">Pre-course questionnaire<\/h3>\n\n<p>While <strong><span style=\"color:#ff0000\">.<\/span><span style=\"color:#274368\">begin<\/span><\/strong> is intended as a general introduction to mindfulness for personal well-being, mindfulness is not for everyone. In particular, people who have recently experienced trauma or bereavement, or severe physical or mental illness, should consult with their GP or other medical adviser before undertaking any form of mindfulness training or practice. For more information, please read the following <a target=\"_blank\" href=\"http:\/\/oxfordmindfulness.org\/news\/is-mindfulness-safe\/\">article<\/a> by Ruth Baer and Willem Kuyken. If you wish to discuss any concerns you might have about the <strong><span style=\"color:#ff0000\">.<\/span><span style=\"color:#274368\">begin<\/span><\/strong> course in this respect, please contact <a href=\"mailto:enquiries@mindfulnessinschools.org\">enquiries@mindfulnessinschools.org<\/a>.<\/p>\n\n<p>Please answer the questions below in as much detail as feels appropriate for you. This is for your instructor and will <strong>not<\/strong> be shared with other participants on the course. The purpose of the questionnaire is to help your instructor guide you with a greater understanding of where you are at and what experience of mindfulness, if any, you have had up to this point. A member of the MiSP team may contact you to discuss your application and ensure this is the right time for you to be doing the course. Your instructor may wish to discuss aspects of your form with their mindfulness supervisor, but this would be done anonymously without any mention of names.<\/p>\n\n<div style=\"border-bottom: 1px solid #d3d3d3;margin-bottom:5px\"><\/div><\/li><li id=\"field_116_46\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_46'>What brings you to Mindfulness? Why have you signed up for the course?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_46' id='input_116_46' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_116_47\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Do you have any concerns about the course? If yes, please tell us about it.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_116_47'>\n\t\t\t<li class='gchoice gchoice_116_47_0'>\n\t\t\t\t<input name='input_47' type='radio' value='Yes'  id='choice_116_47_0'    \/>\n\t\t\t\t<label for='choice_116_47_0' id='label_116_47_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_47_1'>\n\t\t\t\t<input name='input_47' type='radio' value='No'  id='choice_116_47_1'    \/>\n\t\t\t\t<label for='choice_116_47_1' id='label_116_47_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_116_48\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_48'>Please explain<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_48' id='input_116_48' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_116_49\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Do you have any health conditions or physical illness (including allergies) or anything  that affects the senses, may make sitting, standing, walking or doing simple mindfulness practices difficult for you? If yes, please tell us about it.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_116_49'>\n\t\t\t<li class='gchoice gchoice_116_49_0'>\n\t\t\t\t<input name='input_49' type='radio' value='Yes'  id='choice_116_49_0'    \/>\n\t\t\t\t<label for='choice_116_49_0' id='label_116_49_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_49_1'>\n\t\t\t\t<input name='input_49' type='radio' value='No'  id='choice_116_49_1'    \/>\n\t\t\t\t<label for='choice_116_49_1' id='label_116_49_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_116_50\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_50'>Please explain<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_50' id='input_116_50' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_116_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Are you currently taking any medication which could have an impact on your participation on the course? If yes, please tell us what it is and what it is for.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_116_52'>\n\t\t\t<li class='gchoice gchoice_116_52_0'>\n\t\t\t\t<input name='input_52' type='radio' value='Yes'  id='choice_116_52_0'    \/>\n\t\t\t\t<label for='choice_116_52_0' id='label_116_52_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_52_1'>\n\t\t\t\t<input name='input_52' type='radio' value='No'  id='choice_116_52_1'    \/>\n\t\t\t\t<label for='choice_116_52_1' id='label_116_52_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_116_53\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_53'>Please explain<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_53' id='input_116_53' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_116_56\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Have you ever experienced any mental ill health? In particular, anything that has led to you having support from a doctor or other medical professional? If yes, please tell us about it including any relevant dates.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_116_56'>\n\t\t\t<li class='gchoice gchoice_116_56_0'>\n\t\t\t\t<input name='input_56' type='radio' value='Yes'  id='choice_116_56_0'    \/>\n\t\t\t\t<label for='choice_116_56_0' id='label_116_56_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_56_1'>\n\t\t\t\t<input name='input_56' type='radio' value='No'  id='choice_116_56_1'    \/>\n\t\t\t\t<label for='choice_116_56_1' id='label_116_56_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_116_57\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_57'>Please explain<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_57' id='input_116_57' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_116_58\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Are there any aspects of your life that you feel may affect your participation in, and experience of, the course, e.g. bereavement, health issues, trauma (recent or in your past) etc.? This might include major life events coming up in the near future e.g. house move, getting married, new job, birth of a child etc.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_116_58'>\n\t\t\t<li class='gchoice gchoice_116_58_0'>\n\t\t\t\t<input name='input_58' type='radio' value='Yes'  id='choice_116_58_0'    \/>\n\t\t\t\t<label for='choice_116_58_0' id='label_116_58_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_58_1'>\n\t\t\t\t<input name='input_58' type='radio' value='No'  id='choice_116_58_1'    \/>\n\t\t\t\t<label for='choice_116_58_1' id='label_116_58_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_116_59\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_59'>Please explain<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_59' id='input_116_59' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_116_86\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_list_inline gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Have you had any previous experience of mindfulness?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_116_86'>\n\t\t\t<li class='gchoice gchoice_116_86_0'>\n\t\t\t\t<input name='input_86' type='radio' value='Yes'  id='choice_116_86_0'    \/>\n\t\t\t\t<label for='choice_116_86_0' id='label_116_86_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_86_1'>\n\t\t\t\t<input name='input_86' type='radio' value='No'  id='choice_116_86_1'    \/>\n\t\t\t\t<label for='choice_116_86_1' id='label_116_86_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_116_61\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_61'>Please tell us about your experience of mindfulness<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_61' id='input_116_61' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_116_109\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_109'>If there anything else you think it would be helpful for us to be aware of, please feel free to use the box below to outline this.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_109' id='input_116_109' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_116_63\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"specialheader\" style=\"margin-bottom:0;margin-top:10px\">General<\/h3><\/li><li id=\"field_116_108\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"specialheader\" style=\"margin-bottom:0;margin-top:10px\">General<\/h3><\/li><li id=\"field_116_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio margin-vertical-8 gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >How is your attendance being funded?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_116_10'>\n\t\t\t<li class='gchoice gchoice_116_10_0'>\n\t\t\t\t<input name='input_10' type='radio' value='Self-funded'  id='choice_116_10_0'    \/>\n\t\t\t\t<label for='choice_116_10_0' id='label_116_10_0' class='gform-field-label gform-field-label--type-inline'>Self-funded<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_10_1'>\n\t\t\t\t<input name='input_10' type='radio' value='MISP supported place'  id='choice_116_10_1'    \/>\n\t\t\t\t<label for='choice_116_10_1' id='label_116_10_1' class='gform-field-label gform-field-label--type-inline'>MISP supported place<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_10_2'>\n\t\t\t\t<input name='input_10' type='radio' value='Employer\/Other'  id='choice_116_10_2'    \/>\n\t\t\t\t<label for='choice_116_10_2' id='label_116_10_2' class='gform-field-label gform-field-label--type-inline'>Employer\/Other<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_116_74\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"specialbox grey\" style=\"margin:0;text-align:center\">To secure a place payment is due within <strong>2 days<\/strong> of receiving the invoice.<\/div><\/li><li id=\"field_116_73\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"specialbox grey\" style=\"margin:0;text-align:center\">To secure a place you can pay now by Paypal, bank card or BACs or payment is due within <strong>2 weeks<\/strong> of receiving an invoice if requested or when applying for a Train to Teach supported place.<\/div><\/li><li id=\"field_116_72\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_72'>Enter the code received from MiSP (for .begin only please write &#039;state funded&#039; or &#039;charity&#039;, for Train to Teach courses enter code provided when your organisation applied for a supported place. For fully funded places, the code is on the funding page you were provided.)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_72' id='input_116_72' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_71\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p style=\"margin-bottom:0\">Please provide the name and address of the organisation and the contact name and email address of the person we should send the invoice to:<\/p><\/li><li id=\"field_116_66\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_66'>Organisation name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_116_66' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_67\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_67'>Organisation address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_67' id='input_116_67' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_68\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_68'>Contact name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_68' id='input_116_68' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_116_75\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_75'>Contact email address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_75' id='input_116_75' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_116_42\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Where did you hear about this course?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_116_42'><li class='gchoice gchoice_116_42_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.1' type='checkbox'  value='Your school'  id='choice_116_42_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_116_42_1' id='label_116_42_1' class='gform-field-label gform-field-label--type-inline'>Your school<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_116_42_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.2' type='checkbox'  value='Another organisation'  id='choice_116_42_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_116_42_2' id='label_116_42_2' class='gform-field-label gform-field-label--type-inline'>Another organisation<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_116_42_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.3' type='checkbox'  value='A friend'  id='choice_116_42_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_116_42_3' id='label_116_42_3' class='gform-field-label gform-field-label--type-inline'>A friend<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_116_42_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.4' type='checkbox'  value='A MiSP Leaflet'  id='choice_116_42_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_116_42_4' id='label_116_42_4' class='gform-field-label gform-field-label--type-inline'>A MiSP Leaflet<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_116_42_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.5' type='checkbox'  value='A MiSP email'  id='choice_116_42_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_116_42_5' id='label_116_42_5' class='gform-field-label gform-field-label--type-inline'>A MiSP email<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_116_42_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.6' type='checkbox'  value='A Facebook advert'  id='choice_116_42_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_116_42_6' id='label_116_42_6' class='gform-field-label gform-field-label--type-inline'>A Facebook advert<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_116_42_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.7' type='checkbox'  value='A MiSP event or stand'  id='choice_116_42_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_116_42_7' id='label_116_42_7' class='gform-field-label gform-field-label--type-inline'>A MiSP event or stand<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_116_42_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.8' type='checkbox'  value='Internet search'  id='choice_116_42_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_116_42_8' id='label_116_42_8' class='gform-field-label gform-field-label--type-inline'>Internet search<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_116_42_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.9' type='checkbox'  value='MiSP on Facebook'  id='choice_116_42_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_116_42_9' id='label_116_42_9' class='gform-field-label gform-field-label--type-inline'>MiSP on Facebook<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_116_42_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.11' type='checkbox'  value='MiSP on X (formerly Twitter)'  id='choice_116_42_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_116_42_11' id='label_116_42_11' class='gform-field-label gform-field-label--type-inline'>MiSP on X (formerly Twitter)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_116_42_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.12' type='checkbox'  value='MiSP on Linked In'  id='choice_116_42_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_116_42_12' id='label_116_42_12' class='gform-field-label gform-field-label--type-inline'>MiSP on Linked In<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_116_42_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.13' type='checkbox'  value='Other'  id='choice_116_42_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_116_42_13' id='label_116_42_13' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_116_64\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Please confirm you are over 18 years of age<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_116_64'><li class='gchoice gchoice_116_64_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_64.1' type='checkbox'  value='I confirm that I am over 18 years of age'  id='choice_116_64_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_116_64_1' id='label_116_64_1' class='gform-field-label gform-field-label--type-inline'>I confirm that I am over 18 years of age<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_116_79\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Please confirm your level of English<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_116_79'><li class='gchoice gchoice_116_79_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_79.1' type='checkbox'  value='I confirm that I am able to speak and understand English to an Upper Intermediate Level, i.e. I am able to interact fluently with native speakers, communicate effectively and understand everyday language without the aid of an interpreter.'  id='choice_116_79_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_116_79_1' id='label_116_79_1' class='gform-field-label gform-field-label--type-inline'>I confirm that I am able to speak and understand English to an Upper Intermediate Level, i.e. I am able to interact fluently with native speakers, communicate effectively and understand everyday language without the aid of an interpreter.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_116_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >We\u2019d love to stay in touch.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_116_38'>\n\t\t\t<li class='gchoice gchoice_116_38_0'>\n\t\t\t\t<input name='input_38' type='radio' value='I\u2019d like to be kept up to date once I have completed .begin so I can find out about what\u2019s on offer in the HUB, MiSP news and events, practice groups and training with MiSP in the future.' checked='checked' id='choice_116_38_0'    \/>\n\t\t\t\t<label for='choice_116_38_0' id='label_116_38_0' class='gform-field-label gform-field-label--type-inline'>I\u2019d like to be kept up to date once I have completed .begin so I can find out about what\u2019s on offer in the HUB, MiSP news and events, practice groups and training with MiSP in the future.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_38_1'>\n\t\t\t\t<input name='input_38' type='radio' value='I\u2019d prefer not to be contacted'  id='choice_116_38_1'    \/>\n\t\t\t\t<label for='choice_116_38_1' id='label_116_38_1' class='gform-field-label gform-field-label--type-inline'>I\u2019d prefer not to be contacted<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_116_100\" class=\"gfield gfield--type-product gfield--input-type-select gfield--width-full gfield_price gfield_price_116_100 gfield_product_116_100 gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_100'>.begin Course Cost<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_100' id='input_116_100' class='large gfield_select'  aria-describedby=\"gfield_description_116_100\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='\u00a3225.00|225' selected='selected'>Standard<\/option><option value='|0' >Supported place<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_116_100'>A Standard Place for .begin is \u00a3225 per person. A supported place is \u00a3175 per person. If your place is fully funded by MiSP or one of our funders please select 'Supported Place'<\/div><\/li><li id=\"field_116_106\" class=\"gfield gfield--type-product gfield--input-type-select gfield--width-full gfield_price gfield_price_116_106 gfield_product_116_106 gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_116_106'>Train to Teach Course Cost<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_106' id='input_116_106' class='large gfield_select'  aria-describedby=\"gfield_description_116_106\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='\u00a3620.00|620' selected='selected'>Standard<\/option><option value='|0' >Supported place<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_116_106'>A Standard Place for a Train to Teach course is \u00a3620 per person. If you are applying for a supported or fully funded place (by MiSP or one of our funders) please select 'Supported Place' and make sure you have included the correct code in the supported places section above.\n<\/div><\/li><li id=\"field_116_101\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Payment<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_116_101'>\n\t\t\t<li class='gchoice gchoice_116_101_0'>\n\t\t\t\t<input name='input_101' type='radio' value='Pay now by bank card or PayPal (If you choose to pay by PayPal we accept PayPal in 3. This should be an option in your Paypal account at point of payment.)'  id='choice_116_101_0'    \/>\n\t\t\t\t<label for='choice_116_101_0' id='label_116_101_0' class='gform-field-label gform-field-label--type-inline'>Pay now by bank card or PayPal (If you choose to pay by PayPal we accept PayPal in 3. This should be an option in your Paypal account at point of payment.)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_101_1'>\n\t\t\t\t<input name='input_101' type='radio' value='Pay now by BACs (see bank details below)'  id='choice_116_101_1'    \/>\n\t\t\t\t<label for='choice_116_101_1' id='label_116_101_1' class='gform-field-label gform-field-label--type-inline'>Pay now by BACs (see bank details below)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_101_2'>\n\t\t\t\t<input name='input_101' type='radio' value='Request a MiSP Supported Place (I have entered details in the Supported Places section)'  id='choice_116_101_2'    \/>\n\t\t\t\t<label for='choice_116_101_2' id='label_116_101_2' class='gform-field-label gform-field-label--type-inline'>Request a MiSP Supported Place (I have entered details in the Supported Places section)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_116_101_3'>\n\t\t\t\t<input name='input_101' type='radio' value='My place is fully funded (I have entered the funding code in the Supported Places section)'  id='choice_116_101_3'    \/>\n\t\t\t\t<label for='choice_116_101_3' id='label_116_101_3' class='gform-field-label gform-field-label--type-inline'>My place is fully funded (I have entered the funding code in the Supported Places section)<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_116_101'>For course booking and payment terms please refer to the <a href=\"https:\/\/mindfulnessinschools.org\/terms-conditions\/booking-a-course\/\" target=\"_blank\">Terms and Conditions<\/a>.\n<\/div><\/li><li id=\"field_116_102\" class=\"gfield gfield--type-paypal gfield--input-type-paypal gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible gform_ppcp_custom_card_fields\"  data-field-class=\"gform_ppcp_custom_card_fields\" ><label class='gfield_label gfield_label_before_complex gform-field-label' for='input_116_102_1' >Payment Method<\/label><div class='ginput_container ginput_container_select gform_ppcp_payment_method' ><select name='input_102.6' id='input_102_6' class='medium gfield_select' ><option value='PayPal Checkout' selected='selected'>PayPal Checkout<\/option><option value='Credit Card' >Credit Card<\/option><\/select><\/div><div class='ginput_complex ginput_container ginput_container_custom_card_fields gform-grid-row' id='input_116_102' ><span class='ginput_full gform-grid-col' id='input_116_102_1_container' >\n                                    <div class='gform_card_icon_container gform_card_icon_style1'><div class='gform_card_icon gform_card_icon_mastercard' >MasterCard<\/div><div class='gform_card_icon gform_card_icon_visa' >Visa<\/div><span class='screen-reader-text' id='field_116_102_supported_creditcards'>Supported Credit Cards: MasterCard, Visa<\/span><\/div>\n                                    <label for='input_116_102_1' id='input_116_102_1_label'  class='gform-field-label gform-field-label--type-sub'>Card Number<\/label>\n                                    <span id='input_116_102_1' class='ginput_card_field ginput_card_number gform-theme-field-control'><\/span>\n                                 <\/span><span class='ginput_full ginput_cardextras gform-grid-col gform-grid-row' id='input_116_102_2_container'>\n                                            <span class='ginput_cardinfo_left gform-grid-col' id='input_116_102_2_cardinfo_left'>\n                                                <label for='input_116_102_2'  class='gform-field-label gform-field-label--type-sub'>Expiration Date<\/label>\n                                                <span id='input_116_102_2' class='ginput_card_field ginput_card_expiration gform-theme-field-control'><\/span>\n                                            <\/span><span class='ginput_cardinfo_right gform-grid-col' id='input_116_102_2_cardinfo_right'>\n                                                <label for='input_116_102_3'  class='gform-field-label gform-field-label--type-sub'>Security Code<\/label>\n                                                <span id='input_116_102_3' class='ginput_card_field ginput_card_security_code gform-theme-field-control'><\/span>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                             <\/span>\n                                        <\/span><span class='ginput_full gform-grid-col' id='input_116_102_5_container'>\n                                            <label for='input_116_102_5' id='input_116_102_5_label'  class='gform-field-label gform-field-label--type-sub'>Cardholder Name<\/label>\n                                            <input type='text' name='input_102.5' id='input_116_102_5' value=''  \/>\n                                        <\/span> <\/div><\/li><li id=\"field_116_103\" class=\"gfield 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