Name *

First Name

Last Name

Are you wanting to complete our full Certificate in Contemplative End-of-Life Care Program? *

Have you completed, or intend to complete, our two online modules?

Yes, I've taken Mindfulness and Awareness in End-of-Life Care and/or Cultivating Compassionate Presence

Yes, but this is my first course

No, I'm not interested in the full Certificate in End-of-Life Care

Please indicate if you wish to receive continuing education credits (CEU's) for this course. *

Note: This will require attending all sessions, and completing an evaluation at the end of the course.

Yes

No