2009 Mentoring Application Mentoring is available for anyone who wishes to deepen their personal practice. This form is for applying for mentoring in the context of building community. For private mentoring training see www.citta101.org/maryrees/individual_app_choices.htm. How to Apply Submit application by emailing the completed form to mary@citta101.org or mail hard copy of completed form to Mary Rees at P.O. Box 20161, Houston, TX 77025. Submit application by August 15, 2008. Name ______________________________________________________________ Street Address _____________________ City ________ State_____ Zip_________ Email ____________________ Phone (primary) ________ (secondary) ________ Employment/Profession ______________ Web Site URL (if any) _____________ Meditation experience: How long have you been practicing insight or mindfulness meditation? What mindfulness and insight courses and retreatas have you participated in? (attach sheet or expand space as needed) Have you worked with a teacher individually before? If so which teacher[s] and when? Describe the experience and what your status is with those teachers? Describe your daily spiritual practice. What is your experience in other spiritual traditions or personal enrichment practices? Application of the training: Please list any professional credentials or certifications if applicable: How do you plan to use your training? Personal practice? To contribute to development of sangha? To enhance your professional private practice? To expand your offerings in private practice? What do you hope to gain from this experience? Are there elements you especially hope to be included in the training? Structure and Compensation: See http://groups.yahoo.com/group/citta101/files/Mentoring/ on our Citta 101 yahoo listserve website - the excel file named MPossibilitiesDraft.xls - for an idea of how the training might unfold. Costs of this training will be expenses and Dana. What is your understanding of Dana ?