CSE Kriya Yoga Meditation Retreat Application
We welcome your interest in attending a CSE Meditation Retreat. We are committed to providing an environment that is supportive of deep meditation and contemplation for all who participate. In support of this we request that you complete this brief application.

WHO MIGHT APPLY?
• Those with a regular meditation practice and a desire to deepen their practice
• Those who have been initiated into Kriya Yoga or are prepared to receive initiation
• Those able to maintain quiet inner-attunement in the presence of others

WHAT IS THE APPLICATION PROCESS?
• Submit this application and complete the program registration at www.CSEcenter.org 

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Email *
First Name *
Last Name *
Mailing Address (Street, City, State, Zip) *
Mobile Phone *
Have you attended a CSE Kriya Yoga Retreat in the past? *
Required
List your reasons for applying to participate in this retreat. *
Have you received Kriya initiation? *
 If yes, when and by whom? If no, please note the ways in which you have prepared yourself.
How would you rate your overall physical health at this time? *
How would you rate your overall mental and emotional health at this time? *
How would you rate your meditation practice at this time? *
How would you rate the stability in your life right now? *
If you answered "Fair" or "Poor" to any of the above questions, please explain your current challenges and any serious conditions requiring medication and/or doctor's care.
Have you recently gone through a dramatic change, loss of loved one, career change, etc?
If yes, please explain.
A copy of your responses will be emailed to the address you provided.
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