RESET Breathwork® Teacher
Training Application

Welcome! We’re so glad you’re here. Take a deep breath in and arrive in your body and your purpose.

Answer each question with your biggest visions in mind for this Teacher Training (and beyond!).

Think of this as us meeting you for the first time, so that we can understand why this training is a YES for you and your mission and why you should be chosen.

This program is selective and intentional, and we’ll review each and every application with care and full consideration. In the final step of your application, you will be directed to book a discovery call with us (Dr. Cory & Jess) to explore whether RESET Breathwork® Teacher Training is the right fit for you, answer your questions, and discuss your potential next steps and enrollment options.

First Name *

Last Name *

Email *

Phone *

What is your Instagram handle or website? *

Level of experience w/ Breathwork? *

Newbie (Never done Breathwork before!)

Beginner (I've tried it a few times)

Intermediate (I'm ready for more!)

Advanced (It's my jam!)

If there was a specific person or program that led you here, please list who referred you, so we can thank them! Otherwise, list N/A. *

Have you taken training in any other healing modality? If so, what modalities? *

How has Breathwork impacted your life? *

What is your deepest WHY and intention for applying for this training & certification? What goals/desires have been manifesting in your heart? *

When you zoom out of that vision, is there anything holding you back? Where do you get to go next in your evolution of leadership? *

How do you see this Breathwork Training impacting your business and/or community? *

Why now, and why do you want to train specifically with Dr. Cory & Jessica? *

Are you able to attend both weekend intensives (online) on September 12 & 13 and November 21 & 22 at 10am-5pm PST each day? *Important: Attendance is MANDATORY. *

YES, absolutely!

It would be a stretch

On a scale of 1-10, how motivated and committed are you to going all in on the work inside this training, in order to become a master facilitator? *

RESET Breathwork® Teacher Training is a high-level certification experience designed for individuals who are ready to level up their life and career in a massive way.We understand that investing in yourself can feel stretchy. We’ve been there, too. At the same time, we only work with those who recognize the value of high caliber education, expert mentorship, and a transformative experience that creates lasting results. When considering programs or certifications that accelerate your next level of growth, what level of investment feels aligned for you? *

Your final step is to book a 30-minute Discovery Call with Dr. Cory & Jessica to explore whether RESET Breathwork® Teacher Training is the right fit for you, answer your questions, and discuss your potential next steps and enrollment options.

Please select a date and time below that is within the next few days to keep the momentum going!

Please confirm you have booked your call. *

My call is booked!

Is there anything else you feel like we should know? Or a question we can answer for you?

By checking this box, I agree to receive recurring marketing and promotional text messages (e.g., special offers, updates, discounts) from The Healing Couple. Message frequency varies. Msg & data rates may apply. Reply HELP for help, STOP to cancel.

RESET Breathwork® Teacher Training Application

Take a deep breath and submit 🙏

RESET Breathwork® Teacher
Training Application