NEW YORK ZEN CENTER FOR CONTEMPLATIVE CARE

119 23rd Street, Suite 401 New York, NY 10011

zencare.org 212.677.1087

Dear Training Applicant,

Thank you for your interest in our Certificate Programs in Contemplative Studies.We encourage your thoughtful and reflective completion of this application.

Application Process:

We review applications in the order we receive them. Once we have filled up a training group, applications will be held over for the following training year. Enrollment in the training is limited and we have a strong commitment to diversity.

How to Apply:

  1. Download the application to your computer.
  2. Answer all open-ended questions in paragraph or short essay form directly onto the application.
  3. When completed, save your application with your name and with '.doc 'at the end. (Ex. MaryRemingtonApplication.doc)
  4. Go back to to the Certificate Programs page, and click on ‘Application.'
  5. Follow the steps to upload the application, and you may also upload your Resume at this time, if applicable, naming the file Ex. MaryRemingtonResume.doc (as you did with the application).
  6. After you have uploaded, hit Continue to then choose your Payment process.
  7. After you complete your payment options, make sure you hit Continue.
  8. You have successfully submitted your application when you see a page that says ‘Thank you for your information.’’ See point 11 below regarding your 1Reference Letter and payment process.
  9. If paying the application fee by credit card: After you have uploaded, follow the steps to pay the $125 Application fee by credit card. You will receive a confirmation via email of the credit card charge.
  10. If paying the application fee by check: You may write it out in the amount of $125 to 'NYZCCC' and mail it to NYZCCC.
  11. For your 1 Reference Letter: Please download the Reference Form provided via the online application page or our website. Have your reference contact complete the form, and email it directly to

Your application will be considered complete after yourApplication, $125 Application fee and Reference letterhave been received. All materials for fall are due by June 22, 2015. Fall applications are also being accepted now.

After your complete application is reviewed, we will call you to schedule an interview.

Certificate Programs In Contemplative Studies 2015/16

Participant Application

Date of application: ______(ex. MM/DD/YYYY)

First Name:______LastName:______

Home Address:______

City______State______Zip______

Cell: ______Secondary Phone: ______

Email: ______

Date of Birth: ______

TRACK APPLYING FOR (Check one or more)

  • Certificate in Zen Buddhist Contemplative Studies
  • Concentration in Contemplative Palliative Care (optional)
  • Concentration in Contemplative Jungian Theory and Practice (optional)
  • Concentration in Contemplative Counseling (optional)

Professional & Educational Information (please fill out where applicable)

Date you graduated from high school or obtained your GED:

Degree(s), date obtained, university and/or institute:

Licensed as:

Year of licensure:

Current employment/school:

Past employment (use additional sheet as necessary or refer to your uploaded CV):

Areas of specialization/advanced training:

Contemplative Experience

Please describe your meditation experience and respond the following questions (Please limit this to 250 words, and write directly on this application with your responses).

•What tradition(s) is your meditation practice?

•How frequently do you practice?

•What year did you begin your practice?

•Have you worked with any particular teachers, and if so, whom?

•Have you participated in any meditation retreats? If so, which?

1) What brings you to this program, and what do you hope to offer the learning community? (Please limit this to 500 words, and write directly on this application with your responses).

2) Are there any concerns related to your physical and/or psychological well being that may impact your capacity to participate and function in the meditation, learning or retreat during the training? If so, please describe below.

3) If you are from an underrepresented group, what do you need to feel supported?

4) What else would be important for us to know?

Payment Plans

If you are applying for a payment plan, please know that we rely on the generosity of our community to support this. Please describe the circumstances due to which you need financial planning for this program.

How Did You Hear About This Program?

Authenticity Statement:

By signing below, I am confirming that the information above is valid, accurate, and complete.

Name (e-signature):

Date:

Certificate Programs in Contemplative Care