Cultivating the Jewel of Mindfulness Retreat Subsidy Application: Dharma Treasure, Cochise Stronghold, Arizona, April 12-26, 2026

Application for 50% subsidy. This application is only available for the full 14-day, April 12–26, 2026 retreat.

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Name: *
Address: *
Home Telephone: *
Work Telephone: *
Email: *
Age: *
Profession: *
Why are you interested in this retreat: *
What is your background with meditation: *
What is your current daily meditation practice? *
Do you have any mental health challenges I should know about? *
What is your total family income per month: *
What is the source of your income i.e. disability, unemployment: *
Tell me about your financial situation and why you need a subsidy: *
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