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Program Application
All information is collected for purposes of evaluating applicant eligibility and will be held in the strictest confidence.
***Application Deadline: Sunday, January 10, 2021***
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Email
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Your email
First Name
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Your answer
Last Name
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Your answer
Phone Number
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Your answer
Mailing Address
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Your answer
Date of Birth
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DD
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YYYY
Current occupation (if applicable)
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Your answer
Are you fluent or proficient in any languages other than English? If so, please elaborate.
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Your answer
Please provide emergency contact details (name, phone, email, & relationship to you).
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Your answer
Where, when, and from whom did you learn Vedic or Transcendental Meditation?
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Your answer
Have you studied with any other meditation or spiritual teachers? If so, please elaborate.
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Your answer
Do you practice any other forms of meditation? If yes, please describe.
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Your answer
What originally brought you to meditation?
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Your answer
Describe your degree of consistency with your twice daily meditation practice.
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Your answer
Describe the benefits you personally experience from meditation.
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Your answer
Do you participate in group meditations? If so, how frequently?
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Your answer
Have you learned Rounding?
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Yes
No
Have you attended a Rounding retreat? If yes, please list where, when, and which teacher facilitated the retreat. And, if you recall, the highest number of rounds you completed during the retreat.
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Your answer
Have you learned any advanced mantra techniques from the Vedic/TM tradition? If yes, how many?
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Your answer
Have you taken any of Thom Knoles’s *Exploring the Veda* or Jeff Kober’s *Course in Vedic Knowledge?* If yes, please describe.
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Your answer
Have you taken any Siddhis courses? If yes, please describe.
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Your answer
Have you studied Ayurveda? If yes, please describe.
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Your answer
Have you studied Vedanta? If yes, please describe.
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Your answer
Do you practice Hatha Yoga? If so, how frequently?
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Your answer
Do you regularly use any breathwork or Pranayama techniques? If yes, please describe.
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Your answer
Are you living with any chronic illness?
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Yes
No
Are you currently in treatment for any psychological disorder?
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Yes
No
Are you currently taking any SSRI medication?
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Yes
No
Have you experienced any major physical or emotional trauma?
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Yes
No
If yes, do you have support in place for that experience, and/or have you sought specific help for that trauma?
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Yes
No
N/A
Describe your current relationship with alcohol and drugs.
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Your answer
Why do you want to become a meditation teacher?
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Your answer
What are you hoping to get out of this teacher training program?
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Your answer
Describe any current or past involvement in social justice work.
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Your answer
Are there any particular groups you hope to teach upon graduation? If yes, please describe, and why you hope to teach these groups?
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Your answer
Anything else you'd like us to know?
Your answer
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