CDP Application (Cohort 19) - Community for Deepening Practice

April 5 – Nov. 13, 2022

Weekly meeting time:
7-9 a.m. Pacific (morning in the Americas, early evenings in Europe)
(Convert to your local time)

Cost:
$1675 USD for 8.5-month course; payable all at once or monthly.
$250 deposit is due with your application.
Limited financial assistance is available.

Teachers:
To be announced

Register below

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Applicant Information
Name*
First Last
What are your personal gender pronouns?
he, his; she,hers; they,them; etc.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
How did you hear about the CDP? Please be as specific as possible.*
Email*
Phone*
Occupation

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MSC In Your Life
When, where, and with which teachers did you take your first MSC 8-week course or Intensive?*
Are you an MSC Teacher?*
Note: All MSC grads are eligible for this course, and you do NOT have to be an MSC teacher to attend.
- I do teach MSC.
- I do not teach MSC.
Please tick the box representing your highest level of MSC training.*
- MSC Teacher Trainee (completed MSC Teacher Training)
- MSC Trained Teacher (completed TT and taught at least one 8-week MSC Course with formal consultation sessions)
- MSC Certified Teacher
Please describe the context in which you teach MSC.*
i.e., 8-week Courses, Intensives, as a part of your psychotherapy practice, etc.
Why are you interested in participating in this program?*
Please note that the CDP is designed for personal growth and development; it is not a replacement for therapy or MSC Teacher Training.
Can you please tell us a bit about your personal MSC practice?*
For example, how often do you meditate, both formally and informally? What are some of your strengths with your MSC practice, and what are some of the challenges?
As you know we can experience backdraft as part of self-compassion practice. Please indicate what support you have in place for yourself regarding this? (This can be professional and/or personal).*

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Personal Health Background
How would you describe your physical health?*
- Excellent
- Good
- Fair
- Poor
Are you currently in psychotherapy?*
- Yes
- No
If you wish to tell us any details, please do so.
Are you currently taking medication, for physical or mental health reasons, that may affect how you feel from one week to the next?*
If you have any special learning needs for which you request accommodation, please share those needs here.
Is there anything else that would be helpful for the teachers to know at this time?

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Financial Support
Are you requesting financial support to attend the CDP?*
Financial support is limited, not guaranteed, and considered on a first-come, first-served basis. To provide support to the greatest possible number of people, we do not provide full scholarships.
- No, I am not
- Yes, I am
Please list any mitigating life circumstances you'd like us to take into account when considering your request.*
Mitigating circumstances could include prolonged unemployment, volunteering/working in underserved areas, family illness or death, etc.
Considering what is most true, kind, and wise, what SPECIFIC AMOUNT do you feel you are able to pay each month?*
To provide support to the greatest number of people and to engender each participant's ongoing commitment, we do NOT provide full scholarships.

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Waiver of Liability
I understand that the MSC Community for Deepening Practice is an online program to support personal practice after I have completed the MSC 8-week, Intensive or Online course.

MSC is a group compassion skills training program, not group therapy, and it is designed to teach participants the tools needed to develop and cultivate a mindfulness and self-compassion practice. I understand that MSC does not take the place of personal therapy. MSC Community for Deepening Practice assumes the same guidelines.

I voluntarily agree to participate in the MSC Community for Deepening Practice. I can choose to withdraw from the MSC Community for Deepening Practice without any penalty and I am aware that the course fee is non-refundable. If I am paying by installments, then I am still liable to finish paying these.

If I wish to no longer receive notifications from the MSC Community for Deepening Practice, I will request that my details will be removed.

I understand that I am required to provide details of my support system, and it is my responsibility to contact them if I feel the need should backdraft or difficult emotions arise.

I understand that the teachers are not expected or able to provide medical and/or psychological care.

I understand that if I am intoxicated with alcohol and/or non prescribed/prescribed drugs then I am not permitted to take part in MSC Community for Deepening Practice.

I further understand that participation in the MSC Community for Deepening Practice is at the discretion of the teachers at all times. If, in the opinion of the teachers, I am unable to continue to participate productively in MSC Community for Deepening Practice I may be asked to leave.

Any costs incurred for health services are my responsibility and not the responsibility of the teachers. I hereby assume all responsibility for my own equipment required to attend the online sessions.

I understand that MSC Community for Deepening Practice is not aimed at providing any requirements for MSC Teacher Training or to be a replacement for MSC.
By signing below, I confirm that I have read and agree with all sections of the preceding Waiver of Liability. I also agree that I am of legal age.
Signature

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Check Out
Upon admittance, how do you wish to handle your course fee?*
- All at one time, prior to the course
- Monthly payments via auto pay (+$50)
Deposit Amount (USD)*
- CDP Course Deposit ($250)
- CDP Course Deposit (pending financial support decision) ($125)
Total (USD)
$0.00
Credit Card
Card Details
Cardholder Name
Comments
This field is for validation purposes and should be left unchanged.

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April 5 – Nov. 13, 2022

Register below

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Step 1 of 7

Applicant Information

MSC In Your Life

Personal Health Background

Financial Support

Agreements

Waiver of Liability

Check Out