PLUMVILLAGEMEDITATIONCENTER / MONASTERY

Family Coordinator Programme

SUMMER RETREAT 2014

July 4 – August 1

If you have attended a large Plum Village retreat before and you wish to apply to be part of the Family Coordinator and Volunteer Program, you must fill out this form and send it back to us with a recent photo for consideration.

If your visit to PlumVillage is dependant upon serving as a family coordinator due to financial concerns, please DO NOT make your travel arrangements (i.e. purchase tickets for air or train travel) until you have received written confirmation from the Registration Office.

Please note that we cannot consider you for the FCP if you have not been to PlumVillagebefore or in our other practice centres.

SECTION 1 – PERSONAL DETAILS
Family Name: / E-mail:
Given Name(s): / Telephone:
Gender:  Male  Female / Age: / Country:
Language(s) spoken: 1. 2. 3. / Reservation number:
Have you received the 5 Mindfulness Trainings?  Yes  No Year: / R
Have you received the 14 Mindfulness Training of the Order of Inter-being?  Yes  No Year:
Dharma Name: / Note: Please do not bring your pets to Plum Village.
Are you a lay Dharma Teacher in the PlumVillage tradition?  Yes  No Year:
Do you have any physical, emotional or psychological limitations which may affect your ability to work?  Yes  No
If yes, please give details:
Are you taking any prescribed medication for heart, pulmonary, vascular or psychological reasons?  Yes  No Name:
SECTION 2 – SKILLS
Are you willing and able to drive for the community? e.g. pick up guests from the station, shuttle guests to “gites” or other hamlets  Yes  No
Are you willing and able to translate?e.g. during Dharma discussion or presentations?  Yes  No
Are you willing and able help with maintenance or small repairs in the hamlet?  Yes  No
Do you have any other specialized skills you could offer the community? Please specify.
Are you a health-care professional (doctor/nurse/other)? Please specify:
Would you be available to help in an emergency?
SECTION 3 – PREVIOUS EXPERIENCE
Have you attended any largePlum Village retreat before? e.g.21-Day Retreat, Summer Retreat, etc.?  Yes  No
Date(s) & length of stay:Which Hamlet(s):
Please note that we cannot consider you for the FCP if you have not been to PlumVillage or a PV practice centre before.
Have you ever taken part in a Family Coordinator Programme during any Plum Village retreat here or in our centerselsewhere? Yes  No
Year(s): What work did you do?
SECTION 4 – AGREEMENTS
  • I am 18 years of age or older.

  • I will practice to live in harmony with the Sangha and the Sangha’s way of life.

  • I am aware that working meditation and living harmoniously with the other members of the community is part of the FCP.

  • I will be flexible when it comes to rooming. I understand that priority is given to participants who paythe full contribution and I may be asked to stay in a tent or share a dormitory.

  • I will be responsible for communicating with the Scholarship and FCP Committee if I have any special rooming needs.

  • A reduction of 25-50% of my stay will depend on my practice and other skills I can contribute. If the responsibility I accept is considerable, the percentage of the reduction could reach up to 75%.

  • I will commit myself to this Programme for the whole of the retreat or the period agreed upon.

  • I am aware that the number of participants accepted into the programme may vary according to the community’s needs and the capacity of taking care of the participants.

  • I am aware that the details of the programme are subject to change andare agreed upon by the Scholarship and FCP Committee.

  • I will be responsible for communicating with the Scholarship and FCP Committee about any health issues that I may have.

  • I will participate in as many activities of the retreat as my FCP assignment allows me to, knowing that some assignmentswill require more time. For example: assisting in the areas of Children and Teens Program, Meditation Hall, Cleaning (dining room, toilets, showers etc.), preparing breakfast, assisting the Registration Office and Guest Team on arrivals and departure days, etc.

  • I am aware that I may need to usesome of my personal time to complete certain responsibilities that I have accepted.

  • I will try my best to arrive and depart2, 3 or more days before and after the retreat, to participate in the preparations, to get acquainted with my responsibility and to help clean up after the retreat.

  • I will be responsible for communicating with the family coordinator if I am assignedto areas that I feel are beyond my experience and/or that may affect my well-being.

  • I will be fully responsible for the tools/equipment I may bring and I release Plum Village of all liabilities in the event of any damage that occurs to those tools/equipment.

  • The monastics will help guide and support me in the programme. I am prepared to attend regular meetings with the committee and a mentor (if needed).

  • I confirm that all the above information is correct to the best of my knowledge.

  • The following signature.

  • The following signature indicates that I agree with all that is written above. Italso indicates that I release and hold harmless Plum Village from all liabilities in the event of any injury or illness incurred while visiting Plum Village.

Signature / Date __ __ / __ __/ ______
SECTION 5 – REFERENCES
Do you attend a local Sangha or other community in the Plum Village tradition of practice?  Yes  No
If yes, please fill out the following:
Community of Practice Contact Information
Name of Sangha or Community of Practice:
Address:
Contact name: Telephone:E-mail:
Do you know any monasticsin PV?  Yes  No / Name(s):
Do you know any Dharma Teachers (Monastic or Lay)?  Yes  No / Name(s):
Do you know any members of the Order Of Inter-being?  Yes  No / Name(s):
  • If you check yes for any of the above, please send a letter of recommendation as a part of your application.
Your reference should state the person’s relationship with you, their tradition, and involvement in their community of practice.
  • You should write a letter of aspiration expressing why you would like to practice with us and join the Family Coordinator Programme. You should also express what you could offer to the community through your practice and during your stay.

Please complete this form in digital format, attach a recentdigital photo (jpeg) and return to

In addition, please send a signed printed out version, with recent photo and references to:

Lower Hamlet Registration Office, Plum Village

Meyrac 47120 Loubès-Bernac, France

Tel: +33 (0)5.53.94.75.40

Last updated: 23 April 2014