Trainer Application - 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/)

I am a current BBEA member
I am a returning BBEA member
I am not a BBEA member, but am applying

Which trainer level are you applying for?*

Full trainer (you teach level 1 and level 2 trainees)
Specialty trainer (you teach current Educators a specialty)
You teach non-educators a specialty

If you are a new applicant and are requesting trainer level, please describe your training and previous experience.

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.

Has your Buteyko teaching been evaluated by a Trainer?*

If the evaluation was in person or you submitted a video of your teaching, select yes. Otherwise select no.

Yes
No

If Yes, by whom?

Please enter the name of the trainer

When?

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.

How many case studies have you completed?*

If your trainer did not require case studies, you may be asked to write up case studies from your client/patient records. If you have written papers or presented cases at a conference or webinar, those count as completed case studies.

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.

Yes
No
I am a new applicant for membership

Papers/Webinars:

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

Attach copies of case studies

Max. file size: 256 MB.

How many Buteyko webinars/conferences have you attended?*

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

How many webinars have you presented?*

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

Have you presented at a conference?*

If you are a new member applicant, we understand it may not be a BBEA conference

Yes
No

When and where?

Have you done YouTube videos or TED talks? Please itemize.

Have you shadowed a trainer?*

(Be in attendance and assist a Trainer at one of his/her trainings)

Yes
No

Who did you shadow and when?

Do you have a Trainer who can shadow your first training?*

A trainer must be present in your first solo training. If you are an experienced trainer, this no longer applies.

Yes
No
I am an experienced Buteyko trainer
I am an experienced specialty trainer

If yes, who?*

If you plan to train new educators:

Have you downloaded the basic teaching materials provided for a training and reviewed them?
Do you plan to make additions or changes to the basic materials?
Do you have an agenda for your training?

What changes / additions do you plan to make at this time?

Please expand on your choices above

If you plan to do specialty training, please describe it*

Please upload your specialty training agenda

Max. file size: 256 MB.