City Center Commuter Practice Period Application

Page 1

SAN FRANCISCO ZEN CENTER CITY CENTER

Fall 2022 Commuter Practice Period Application

2022

Led by

All fields on the form marked with an asterisk are required.

NOTE: You are applying to participate as a Commuter Participant (those living close enough to City Center to drop in for many events but not live at City Center). Note: There are separate applications for Residential participants and Online participants.

Personal Information

First Name

Last Name

Date of Birth

mm/dd/yyyy

Phone (Cell)

Alternate Phone

I identify my gender as (for housing purposes)

Gender Pronouns (i.e. he/him, she/her, they/their, or something else?)

Address

Mailing Street

Mailing City

Country

State

Province

Zip / Postal Code

Emergency Contact Information

Emergency Contact Name

Relationship

Address

Cell Phone

Alternate Phone

PART II: Personal Statement

What motivates you to join this intensive? For instance, what is it you are searching for, inspired by, or would like to investigate in your life?

A brief personal history, and specifically, what do you consider to be the most important manifestations of your Buddhist practice in your everyday life? What do you do and / or have done - in your work life, in family life, in the larger world, in the monastery - that you consider to be an important manifestation of your commitment to Buddhist practice?

Completed SFZC Practice Periods, intensives and sesshins and dates (if applicable)

Briefly include other formal Buddhist practice experience; include date(s), and location(s)

Have you received the Buddhist precepts?

YesNo

Date received precepts

Received precepts from whom?

Have you been ordained as a Buddhist priest?

YesNo

Ordination date

Ordained by whom?

Are you currently practicing with a Buddhist teacher or practice leader?

YesNo

Name of Primary Teacher/Practice Leader

Are they an SF Zen Center Teacher?

YesNo

We request a letter of recommendation from your teacher if they are not a SF Zen Center teacher. Please provide contact information so that we may reach your teacher if necessary. Please include the teacher's name, address and phone number.

Preferred Zendo Seating Type

If Other type seating describe/explain