ZMC Summer Work Practice Application

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TASSAJARA ZEN MOUNTAIN CENTER

Summer 2022 Work Practice Program Application

Fields marked with an asterisk are required.

REQUESTED DATES

Whole Summer: April 5 - Sept 11, 2022 (includes a 6-day vacation midsummer)Partial Summer

Zen Kitchen Apprenticeship

Would you also like to apply for the Zen Kitchen Apprenticeship?

YesNo

Specify Dates

Arrival Date

mm/dd/yyyy

Departure Date

mm/dd/yyyy

This summer, in part due to the increased complexity of Covid protocols, we are asking all summer students to commit to a two-week minimum.

If you wish to be considered for the Work Practice Apprenticeship (WPA) program, a three-month commitment or longer is required between April 28 and September 11

Personal Information

First Name

Last Name

Email

Date of Birth

mm/dd/yyyy

Phone (Cell)

Alternate Phone

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

Address

Mailing Street

Mailing City

Country

State

Province

Zip / Postal Code

ZKA Application Questions in WPA Application?

YesNo

Emergency Contact Information

Emergency Contact Name	Emergency Contact Phone
My relationship to the person above
Physician / Health Care Provider	Physician Phone
Therapist	Therapist Phone
Health Insurance Provider	Group/Policy Number

Vaccinations

At this time, Tassajara is only able to invite people to be residents who are fully vaccinated and have

received a booster shot when eligible.

Have you been vaccinated against Covid-19?

YesNo

Will you be fully vaccinated by the the time you arrive? Please give details.

What vaccine did you receive? How many doses have you received and what was the date of your last dose?

Practice

Have you practiced at San Francisco Zen Center before? If so, please give dates and briefly describe (Tassajara/City Center/Green Gulch, summer or guest student/WPA/practice periods)

Precepts

Have you received the Buddhist precepts?

YesNo

Date received precepts

Received precepts from whom?

Ordination

Have you been ordained as a Buddhist Priest?

YesNo

Ordained by whom?

Teacher

Current Primary Teacher/Practice Leader (if applicable)

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Personal Statement

1. Your intention in applying to Tassajara at this time

2. Any previous experience in Buddhist or other meditation practices

3. Any previous experience living in community

4. A brief personal history

5. Work experience and skills (please include any form of medical training or experience)

6. Physical or mental health issues, in addition any noted under Health Record on Page 2

Work Practice Requirements

Follow the schedule of morning and evening meditation, and morning, and evening services of bowing and chanting.
Attend the work practice schedule.
Attend talks and ceremonies.
Attend small group meetings and community meetings.
Refrain from drug and alcohol use.
Refrain from initiating any new sexual relationships.
Follow the Tassajara Guidelines (Monastic Regulations for Summer Zen Training).
Do not leave Tassajara during your stay if it is your first summer (except for vacation, if applicable, or emergencies).

I have read the above Work Practice Requirements, and the Tassajara Guidelines, and I agree to follow them completely.

Agree

Supplemental Questions for the Zen Kitchen Apprenticeship

1. What is your interest in working in the Tassajara kitchen?

2. Describe any particular culinary training or skills.

3. Describe any prior cooking experience, including any work in a commercial kitchen.

4. Describe what hopes and expectations you have with regard to working in a Zen kitchen.

5. If you are not accepted for kitchen practice, do you still wish to be considered for the Summer Work Practice Program?

YesNo

6. If I do not hear of my acceptance by

, please withdraw my application.

Enter a date in month/day/year format

Headshot

Please upload a recent, cropped headshot. There is a free online cropping tool at cropp.me if you need it.

You may skip this step if you are a returning student or having difficulties with the upload.

Application Fee

There is a one-time $75 nonrefundable fee for first-time students and a $25 processing fee for returning students. All application and processing fees must be paid prior to consideration of the application. If either Tassajara or the student needs to cancel due to Covid, the application fee will be refunded. The application fee may be reduced based on financial need. Please contact zmcdirector@sfzc.org for more information.

Did you receive a reduced fee approval code from the director?

YesNo

Payment Page

Payment may be paid here. Visa/MC only.

Application Fee

New student: non-refundable fee $75 (for 1st time summer students)Returning student: non-refundable fee $25

Application Fee Amount

Name on Card

Card Number

MM

YY

Code

Billing Email

Authnet_Hidden_Fields

Approval Code Page

If you are unable to submit the form select "Previous Page" or contact zmcdirector@sfzc.org for the correct approval code.

Enter Approval Code Received by the Director