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Meditation in Action – Application
About you
Name
*
First
Last
Email
*
Address
*
Street Address
Address Line 2
City
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Afghanistan
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Algeria
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Nigeria
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Panama
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Poland
Portugal
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Qatar
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Russian Federation
Rwanda
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Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
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Samoa
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Somalia
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South Georgia and the South Sandwich Islands
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Spain
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Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
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Tonga
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Virgin Islands, U.S.
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Yemen
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Country
Date of birth
*
DD dash MM dash YYYY
Nationality
Spiritual practice history
*
Please give a history of your spiritual practice and dharma training. Include information on any meditation disciplines you have been involved in. Are you a member of a Shambhala Center? Give information on your main practice, frequency of practice and average length of sessions. If you have taken courses at a Shambhala Centre or other Buddhist centre, indicate the extent of your studies. If you have one, who is your Meditation Instructor (name and email)?
About your stay
Programme cost is 14 Euro per day, all included food and basic accommodation in a dorm or 2-person tent.
How long would you like to stay?
*
Please enter your preferred dates of arrival and departure.
Two weeks minimum timeframe applies for the MIA Programme.
Which languages do you speak?
*
Please indicate what languages you speak and write fluently.
French
Spanish
Dutch
English
German
Health Insurance
*
I accept that I have to take care of my own health insurance during my stay at Dechen Chöling.
Travel Arrangement
*
I understand that I am responsible for my own travel arrangements and expenses to and from Dechen Chöling
Other information
Occupation and Personal Skills
*
Please give a short outline of your current occupation and list your skills, interests and hobbies. Give information on the type of skills you have that could be useful at Dechen Chöling. Do you have a European driving licence?
Psychological and medical history
*
Please give an accurate description of your psychological and medical history. Include information on dietary restrictions, allergies, and sleep issues. Do you snore? List major operations, illnesses and chronic conditions. Do you take any medications for psychological or physical conditions, are you in a therapy? Please explain.
Motivation
*
Tell us more about your motivation for coming to Dechen Chöling. Have you ever lived in a community before? If so, where and for how long? What interests you about living in a spiritual community? Are you willing to commit to daily meditation practice?
Comments
This field is for validation purposes and should be left unchanged.