Summer Meditation Teacher Retreat & Meditation Teacher Training Program
Application & Liability Release

HISTORIC KENT MANOR INN, STEVENSVILLE, MARYLAND, JULY 11-15, 2018

AND ONLINE MEDITATION TEACHER TRAINING & CERTIFICATION

PLEASE COMPLETE THE FORM BELOW

Mindful teachers create mindful learning environments, where students thrive and learn. You are applying for your school to send two teachers to attend a five-day summer mindfulness retreat, and to enroll in the Online Meditation Teacher Training Certification program, SOMA, The Science of Mindful Awareness. If your school is selected, The Mindfulness Center will support your school in conducting a PTSA or other fundraiser to raise $5,000 to send two teachers from each participating school. This program is valued at over $8,600 per school. Schools are selected on a first-come, first-served basis, until the retreat and program are full. We are only accepting up to ten schools this year. You provide us with the names and applications of the two teachers/staff whom you nominate to attend, and if your treachers are accepted, we will work with you to support your fundraising campaign. If you are accepted, but are unable to raise the necessary funds this year, you may defer enrollment until the following year.

 
Principal Name *
Principal Name
Phone *
Phone
Name of Teacher Nominee (1)
Name of Teacher Nominee (1)
Name of Teacher Nominee (2)
Name of Teacher Nominee (2)
By agreeing to these terms, you agree that if your school is accepted, you will assist your school in its fundraising efforts to raise $5,000.00 to sponsor two teachers to attend the Summer Meditation Retreat and online Meditation Teacher Training Certification program conducted by The Mindfulness Center. If you are not able to reach the full amount of $5,000.00, you may defer your enrollment until the following year, for either the same teachers or two new nominees. *