UPAYA BUDDHIST CHAPLAINCY PROGRAM 2018 Information and Application

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1 UPAYA BUDDHIST CHAPLAINCY PROGRAM 2018 Information and Application Thank you for your interest in the Upaya Chaplaincy Program. Please read the following all of the of information carefully to ensure that your application is complete and that you understand Upaya s policies for this program. APPLICATION PROCESS Spaces in this training program are limited; early application is advised. Applications are considered in the order they are received, up until one month before the start of the program or until all places have been filled. Please know that not all applicants are accepted. This is a unique program that requires a high level of commitment, and we strive to ensure that the program is a good match for each applicant s aspirations, experience, and goals. We prioritize applicants who have a strong background in Buddhist practice and who have studied with a Buddhist teacher. Note: If you have never been to Upaya before and never attended a retreat or workshop with Roshi Joan Halifax, we highly recommend that you consider registering for a Upaya retreat prior to applying for the program. Please visit our website, to see program offerings. If there are ethical or other concerns that arise during the application process or while enrolled in the program, Upaya Zen Center reserves the right to terminate a candidate s participation in the Chaplaincy Training Program. If you have further questions about the program or the application process, please contact the Program Administrator, chaplaincy@upaya.org. PROGRAM COST The total cost for the two-year program is $10,800, which is paid in two annual payments of $5,400 each (see below for payment and cancellation policies). This fee covers your tuition, food, dorm lodging, and program costs for a total of 26 Upaya Learning Days each year (Core Training days, plus Elective days which may be related to your training path). The cost also covers mentoring, full-cohort conference calls, and most study materials such as the Student Handbook. It does not cover books that may be required for study, nor mentoring circle calls during the course of the year. For 2018, the Core Training dates that all participants are required to attend are scheduled for March 18-25, 2018 and August 10-19, 2018.

2 In addition to the 26 Learning Days, chaplaincy students are eligible to take other courses at Upaya at a 10% discount on program fees and lodging (international travel programs are excluded from this discount). Please note that Upaya is not able to offer payment plans for this program (however you may use a credit card to pay for tuition). If you need financial support to enter the program, we suggest that you explore inviting your sangha or community to sponsor you. ACCOMMODATIONS Your tuition covers dormitory lodging and three meals a day at Upaya during your Learning Days (you may upgrade to a double room for an additional $25/night and we have a few single rooms for an additional $40/night). The Upaya campus has five beautiful adobe buildings with kiva fireplaces, shared bathrooms, and simple accommodations providing space for two to four retreat participants per room. The food is vegetarian, healthy, and delicious. Participants may stay at Upaya before and/or after the program for an additional fee. Please speak with the Upaya Registrar about adding days onto your visit; contact registrar@upaya.org or call ext 112. DEPOSIT, PAYMENT, AND CANCELLATION POLICIES Please note that Upaya Zen Center has invested a great deal of time, effort, and expense into the planning for faculty and curriculum for each chaplaincy training cohort. For this reason, the following policies for deposits, payments, and cancellations are necessary, and we ask that you are ready to make a commitment to the program. Please make sure that you understand these policies before you apply for the program. If you have any questions about the program or these policies, please contact Chaplaincy Administrator, Petra Zenryu Hubbeling, at chaplaincy@upaya.org. Deposit Policy All applications must include a $400 deposit. Please note: This $400 deposit is refundable only if an applicant is not accepted into the program; in that case, the deposit will be refunded less a $100 processing fee. You may pay the deposit by check or by credit card (MasterCard or Visa only). To charge your deposit to your credit card, please call the Upaya Registrar at , ext 112. (For your own protection, please do not send your credit card number by .) Late Application Fee If you are submitting your application after January 31, please enclose an additional $150 along with your deposit. The purpose of this fee is to encourage

3 early applications. Each cohort requires a great deal of planning and preparation on our part. Therefore it helps us to know, as much as possible, who will be in each cohort by January. Deferral Policy If you are accepted and decide to defer your start date, your deposit is transferable for one year only. After a year, you must reapply to the program and your deposit is non-refundable. If you need to defer, please do so no later than one month before the start date of your cohort. Contact chaplaincy@upaya.org and registrar@upaya.org to request a deferral. Payment Policy Upon acceptance to the training program, 50% of the annual tuition ($5,400) is due in order to guarantee your space in the program, and to make you eligible to take Upaya classes at the 10% chaplaincy discount rate. Your final payment must be received at least 30 days before the first elective you choose to take. If you wish to take advantage of this early payment discount benefit, please note that you cannot register for electives that in total exceed the tuition you have paid up to that point in time. The remaining balance is due no later than 30 days before the core training retreat that begins your cohort. If the entire balance due is not received by 30 days prior to the start of the program, your registration may be cancelled and any tuition you have paid to that point may not refundable. Tuition for the second year of the training will be due 30 days before the start of the second year core training retreat. Cancellation Policy If you cancel your enrollment in the Chaplaincy Program 30 days or more prior to the start of the program and have not taken an elective, you will be refunded 50% of any tuition payments you have made up to that date. If you cancel 30 days or more prior to the start of the program and you have taken an elective, you will be refunded 50% of any tuition payments you have made up to that date, minus the full cost of the elective. If you cancel your enrollment in the Chaplaincy Program 29 days or less prior to the start of the program, you will forfeit any tuition payments you have made up to that date. Please note: if you cancel your enrollment, the $400 deposit is non-refundable.

4 Checklist for Chaplaincy Program Applicants Note: If you have never been to Upaya before and never attended a retreat or workshop with Roshi Joan Halifax, we highly recommend that you consider registering for a Upaya retreat prior to or in the process of applying for the program. Please visit our website, to see program offerings. 1. Fill out application completely and return it to Upaya Institute and Zen Center. Please send the application by both to chaplaincy@upaya.org and by postal mail to: Upaya Zen Center, Chaplaincy Program, 1404 Cerro Gordo Rd, Santa Fe, NM, Please complete the Needs Assessment form and return it with your application. This will help us in our preparation for your arrival should you be a participant in the program. 3. Please attach a recent photograph of yourself to your application. 4. If you are not a student of Roshi Joan Halifax, a letter of recommendation from your current Buddhist teacher or spiritual mentor is required. This letter should include this person s assessment of your spiritual formation as well as your capacity to apply your practice in a service role (e.g. chaplain). Please have the author of the letter send it via postal mail to Upaya Zen Center, 1404 Cerro Gordo Rd, Santa Fe, NM 87501, attn: Chaplaincy. It may also be ed to chaplaincy@upaya.org but we must receive an original signed copy via mail. 5. All applications must include a $400 deposit. Please note: This $400 deposit is non-refundable and will be applied to your tuition if you are accepted. If you are not accepted to the program, the deposit will be refunded less a $100 processing fee. Applications submitted after January 31 also need to include a $150 late fee, which is non-refundable. You may pay the deposit (and late fee if applicable) by check or by credit card (MasterCard or Visa only). To charge your deposit to your credit card, please call the Upaya Registrar at , ext For your own protection, please do not send your credit card number by Once your application and deposit have been received, we will contact you to confirm receipt and inform you of further steps. In some cases, we may wish to schedule an interview with the program director to ascertain if the program is an appropriate match for your goals and needs.

5 UPAYA CHAPLAINCY TRAINING PROGRAM APPLICATION COVER SHEET Name: DOB: Address: City: State: Zip: Telephone Number: Fax: Date application submitted: Date you are applying to start the program: March 2018 March 2019 I am enclosing the $400 deposit for this application by: Check (enclosed) MASTERCARD or VISA (circle one) Card # Exp. / CVV Code (3-digit number on back of credit card): Note: For your protection, please do NOT send your credit card number by . You may phone the Registrar with this information at , ext If this application is submitted after January 31, I am enclosing the additional $150 late application fee. Please check this box to indicate that you have read and understand the deposit, payment, and cancellation policies for this program, as detailed in the Application Information. 1. Please indicate if you are taking this program with the intention of pursuing a

6 professional chaplaincy path (e.g. seeking a paid position with the title of chaplain or spiritual care provider ) and if you intend to apply for board certification from the Association of Professional Chaplains: Yes. No I am interested in taking the Upaya program to apply to other professional work that I do. Not sure. 2. If you answered Yes to the previous question, please indicate if you have received a bachelor s degree from an accredited college or university. Yes name of college/university: No 3. Please indicate below which path/s you are interested in pursuing. You do not have to commit to a path/s until later in the training process, but this information helps us to better understand your interests as we design the curriculum. Compassionate End-of-life Care Environmental chaplaincy Peacemaking Prison ministry Systems ministry Women s ministry Youth/Education chaplaincy Other: 4. If you are not a student of Roshi Joan Halifax, a letter of recommendation from your current Buddhist teacher is required. Please include this letter with your application; or if that is not possible, have the author of the letter mail it to ( is not sufficient): Chaplaincy Program Upaya Zen Center 1404 Cerro Gordo Rd. Santa Fe, NM Please include a recent photo of yourself with this application. ******************

7 On a separate paper, please address the following questions. Please limit your total answers to no more than five pages. A. Describe your Buddhist practice and related study, including the following: What is your daily meditation practice? How regularly do you meditate and for how long? What Buddhist traditions have you practiced and studied, and for how long? Who have you studied with? Have you received jukai in another Zen lineage, or some kind of empowerment/transmission in another Buddhist tradition? If yes, please let us know when and with what teacher. Have you taught Buddhist practices? If yes, please describe what you have taught, for how long and the environment in which you have taught. If you are not a Buddhist practitioner, what is your practice background and why do you wish to become a Buddhist chaplain? B. Provide information on at least four Buddhist retreats you have attended of one week or longer, including dates, name of retreat, teacher/s C. If you have previously engaged in chaplaincy training, please provide details of the program, i.e. location, guiding teachers, content, and how much of the training program you completed. Please provide the name of a teacher Upaya can contact for a recommendation. D. What is your academic background? Please give details, i.e. degrees earned, institutes attended. E. Describe your past work history and current area of work, either paid or volunteer. F. Please respond to the following: What is your intention for engaging in chaplaincy training at this time? How will your life and work experience will support this training? What are your plans for engaging in this work following the completion of the Upaya training?

8 Upaya Chaplaincy Training Program Needs Assessment Form These questions will help us meet your needs during your stay with us. Name: Date: 1. Please indicate any dietary restrictions (medical/health needs, not specific preferences): 2. Please indicate any physical limitations and how we may assist you. (e.g. do you need a chair in the Zendo?) Some of Upaya s buildings are a 3-5 minute walk from our main campus, and a few rooms are on the second floor. Please let us know if you have any mobility challenges that would prevent you from walking or using the stairs. 3. Are you planning on lodging at: Upaya Location other than Upaya 4. The Chaplaincy Program fee includes dormitory housing. Do you prefer an upgrade to a double room (if available) for $25 per night or to single rooms (we only have a few) for an additional $40/per night? Yes No if Yes, I prefer a Double / a Single Do you snore or use a CPAP machine? Yes No 5. Do you have a roommate or room request? (no guarantees) 6. Are you male or female (circle one) 7. Other information you think it is important for us to know for your stay here:

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JCC of Central New Jersey POLAND AND ISRAEL A Journey From Dark to Light April 22- May 2, 2017 Fax/e-mail or mail completed application to: Sababa Travel FAX: (425) 671-2374 PO Box 445 Phone: (908) 347-7785