DHARMA FIELD
Application to Participate in Sesshins

Participation in sesshins at Dharma Field requires the advance approval of our Head Teacher. Approval is granted on a case-by-case basis, based primarily on the applicant's meditation experience. Please complete the application below and submit. It will be reviewed and kept on file. Once approved, it need not be submitted again.

This is not a sesshin registration form. Once you have received approval to participate in sesshins at Dharma Field, you may register for sesshins by filling out a Sesshin Registration Form for each sesshin. The forms are available online and at Dharma Field.

If you are not comfortable registering by the ONLINE METHOD, look for this form at Dharma Field. Online informationi s secure. Contact the Program Director at Dharma Field for more information or to request registration form.

PERSONAL INFORMATION
First name Last name
Gender M or F Birth date mm/dd/yy
Street address
City
State/Province ZIP/Postal code Country
Home phone Work phone
Email address
MEDITATION EXPERIENCE
Experience with meditation is required.
1) How long have you been practicing meditation?
2) What type of meditation do you practice? e.g. Zen, Tibetan, vipassana, TM, self-taught, etc.
3) How often do you practice? e.g. once a day, three times a week, etc.
4) How many sesshins (or simliar Buddhist meditation retreats) have you participated in?
  none 1 2–4 5+
5) Please give the date/location/teacher of your most recent sesshin.
SIGNATURE
Typed name in this box is applicant's signature
Signature X Date