LWM Retreat Center Application
LWM Retreat Center Work Study Program
First Name *
Middle Name *
Last Name *
Age *
Ethnics *
Email *
Phone Number *
Address *
City *
Emergency Contact Name, Relationship and Phone *
Start Date *
Preferred Duration *
Select all types you are willing to stay: *
If you have your own trailer, RV or van, what type and how long is it?
How are you coming here? *
Have you done meditation and what kind of meditation? How long have you been doing it? *
Have you learned Buddhism and what tradition or topics have you learned? *
Have you been to any meditation centers in US or Asia, follow the teachings of any teachers? *
Education Degree *
Education Major *
Jobs (current and/or previous) *
Are you currently working? *
What skills do you have? *
Do you have any mental illness like depression, post traumatic stress disorder (PTSD), bipolar disorder etc? Do you may need help on any of these? *
Is there anything else you want to add to your application? *
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