Nalanda Institute Fellows Program
Nalanda Institute for Contemplative Science
https://nalandainstitute.org/

APPLICATION PERIOD IS NOW CLOSED. The deadline was September 15th, 2019. Thank you for your interest.

Please read our Fellowship Program Guidelines here:
https://nalandainstitute.org/fellows-program-guidelines/


Sign in to Google to save your progress. Learn more
CONTACT INFORMATION
First Name *
Last Name *
Address
Date of Birth
Month / Date / Year
Phone, work/office
Phone, cell
Email *
CONTEMPLATIVE STUDY EXPERIENCE
What Nalanda Institute programs have you graduated from? *
What studies and courses have influenced your work?
Teachers *
Have you worked closely with any particular teachers, and if so, whom?
Project outline and summary *
Please provide a written description of the project you wish to submit for the Fellows grant. Please include a timeline, location, what goals you hope to achieve, and any additional information regarding your project. You may wish to review our Fellowship Program Guidelines (link at top).
PROFESSIONAL QUALIFICATIONS
Degrees
List all degrees. For each, please include: 1) degree, 2) date obtained, 3) university and/or institute.
Licensed as:
Year of licensure:
Current employment
Past employment
Describe below or you may email a CV to geri@nalandainstitute.org
Areas of specialization / advanced training:
ADDITIONAL INFORMATION
Personal statement *
Please describe what brings you to this work, and what do you hope to gain from this level of engagement? (Please limit your response to 500 words)
Concerns
Are there any concerns related to your physical and/or psychological health that may impact your capacity to participate and function in the meditation, didactics or retreat during the training? If so, please describe.
Additional information
Please feel free to provide any further information about yourself that may be relevant to this application.
How did you hear about the Fellows Program?
SIGNATURE
Typing your name below qualifies as a signature and is a confirmation that the information above is valid, accurate, and complete.
Name
Date
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Nalanda Institute for Contemplative Science. Report Abuse
Google Forms