Application
procedure:
- Complete
this form as thoughtfully as possible. It will be kept confidential.
- Submit
the form by e-mail or print it out and return by postal mail.
- E-mail or post
us a current photograph of yourself in which your face is clearly visible.
Our postal address is at the bottom of
this form.
You will be promptly
notified whether or not your application has been accepted.
Participation is limited to individuals whose applications are approved
by the facilitators.
Because of
the unique nature of The Passage, some time is needed between the
date you apply and the date you are accepted. To give you time to plan
your schedule and make travel arrangements, we recommend you submit your
application as far as possible in advance of the desired workshop.
To offer each
participant the greatest potential benefit, family members, significant
others and friends accepted into The Passage may be asked to select
a Passage at a different location and date than yours.
1. Which Passage are you interested in attending?
| Date
and Location: |
|
2. If you have already attended The Passage, which one(s)?
3. Do you know anybody else who is applying for this Passage?
4. Why do you want to attend The Passage?
5. How did you learn about The Passage?
6. Are you involved with any therapeutic work, either individual or group?
7. Have you ever been hospitalized for depression or other psychologically-related
illness? If so, please explain.
8. Are you currently taking any medication or using drugs of any type?
9. What is your work, marital status, family and living situation?
10. What are the main issues prevalent in your life at this time?
11. Are there any medical or psychological issues which you feel may affect
your full participation?
Submit now
or print out and return by postal mail to:
Fortunate Blessings Foundation
24 Village Green Drive
Litchfield, CT 06759-3419
USA
Please
remember to (e)mail us a photograph of yourself.
