City Center Guest Student Application

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Page 1

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Intended Dates of Stay 
Note: Arrival date must be on a Monday. Departure date must be a Saturday or Sunday. Date format is: Month/Day/Year

Must be on a Monday.

Must be on a Saturday or Sunday.
We are currently asking all guest students to commit to a two-week minimum.
Personal Information
Fields marked with an asterisk (*) are required. 
In addition to filling out this form, please have a letter of recommendation sent to ccstudent@sfzc.org in order to complete your application. This letter can be from a spiritual teacher, academic teacher, mentor, or employer. More on this on page 2 of the application.




Please choose the best phone numbers for you to be reached at






MM/DD/YYYY







Address





Emergency Contact Information











Medical Contact Information






Page 2

Please answer the following questions. This information will remain confidential.
Q & A
















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