Application For Level 3 - Buteyko Breathing Educators Association

Date*

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Best contact telephone*

Email*

Enter Email Confirm Email

Business Name

Current Occupation

Select one:*

If you have never belonged to the BBEA before, please also complete the application for membership (https://buteykoeducators.org/register/)

List any Degrees/Certifications not mentioned in previous documentation. (Attach copies of diploma etc)

Degree/Certification copies

Any declared degree or certification must be accompanied by a copy of the degree or certification.

Drop files here or

Max. file size: 256 MB.

How many clients/patients have you taught?*

You may be asked to support this number with documentation.

Please enter a number from 0 to 999999.

Do you have at least 14 BBEA CE units in the last 2 years?

If you are a new member, this is not a requirement.

Papers/Webinars:

Please list any publications you have authored, and any webinars you have presented. Indicate case studies.

How many Buteyko webinars/conferences have you attended?*

If you are a new member applicant, enter N/A