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Maezumi Institute: Overview: Description of Resident Program in Socially Engaged Buddhism: Application Form for Resident Program in Socially Engaged Buddhism


Your Name

Address

Home Telephone             Office Telephone
 

Cellular Telephone


E-Mail Address


Date of Birth                 Social Security Number
 



Emerg. Contact Name      Relationship
     

Address

Home Telephone              Office Telephone
 

Cellular Telephone


E-Mail Address


Undergraduale College

Major                              Year Graduated      GPA
                            


Graduate School

Major                              Year Graduated      GPA
                            


Employment History

Volunteer Work

Other Academic and/or Certification Programs

Certifications or Licenses

Zen and/or other Buddhist Background


The fee is $20,000. What scholarship amount do you plan to apply for?

What is the minimum amount of scholarship award that would allow you to enter this program?

The program starts on September 13, 2008 and another program begins in April 2009. Please enter which program you are applying for.

References (at least 3, 1 from your spiritual practice, 2 work or academic related)


Please write an 800 word description of your spiritual orientation, what you hope to learn through this Maezumi Institute program and what your goals are after you finish the program.

Print this and mail to:

Daniel Herman
Resident Program
Maezumi Institute
177 Ripley Road
Montague MA, 01351

 


177 Ripley Road | Montague, MA 01351 | Phone: (413) 367-2080 | 2007 Zen Peacemakers