Meditation Request  Form
Thank you for your interest in a meditation session!

The University Health Center offers daily meditations Monday-Fridays during the academic year. To learn more about our ongoing programming and join our community spaces please visit: https://health.umd.edu/meditation.

We also recognize these community spaces might not work for all schedules or meet your needs. If that is the case, we are happy to offer group-based meditations by request. During the Fall 2021 semester all by-request meditations will take place via zoom.

PLEASE NOTE: We require two weeks notice for all requests. We will be in touch as soon as we are able to process your request.

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Name *
First Choice Date and Time *
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Time
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Second Choice Date and Time *
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Time
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Contact Information
Preferred Phone Number *
Email Address *
How did you hear about us?
Group Information
Name of Group, Class, or Residence Hall *
Audience Size *
Must be at least 5 people.
Short description of the audience. *
Tell us more about what you are hoping to gain from a group meditation session. *
Any information you provide here will help us better craft a meditation specifically for your group. We may also ask to schedule a brief meeting with you to talk about this more. We're passionate about finding what will work best for your group.
We strive to create accessible spaces during all of our sessions. Please let us know of specific accommodations your class, group, or residence hall may need to thrive.
If you are a member of a Student Org, Greek Life, or Residential Life, please include the name and contact information for your Staff Advisor, Council Advisor, or Residential Director.
Anything else we should know? Any special instructions?
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