Application for Integrated Meditation Program

This unique program is designed for meditators looking to find more joy, alivneess, connection with themselves and with people around them. Looking for deepening thier meditation practice and looking for these qualities to spread into all areas of thier lives. It supports changing challening patterns and finding the healthy ones that come from having safety, protection, attunement, delight and encouragment.

This program will have three components: community practice to learn the art of co-regulation, metacognition training, and restructuring the old core beliefs into new and helpful ones. The Integrated Meditation program hypothesizes that these three components can change our old and afflictive core beliefs more efficiently than just meditation alone.

Dr. David Elliott, Ph.D., who co-founded the evidence-based Three-pillars Protocol, has endorsed this program for meditators.

As this is not therapy, we assess if this program will be a good match for you with three free self-assessment quizzes as part of the application.

For this program to be effective, we will need a group of motivated meditators committed to attending all of the groups and practice sessions each month. Each month there will be:

One Big group: 2.5 hours

One Mentor group: 1.5 hours

One Peer group: 1.5 hours

One Peer meeting with a buddy: 1 hour

The last 3 months there will be 2 additional 45 minute one on one meetings with Amma.

Big group meeting on the second Saturday of the month from 10-12:30 am Pacific time

Dates: May 2025 - October, 2025 Location: Virtual on Zoom

Cost: We want to make this program available to participants of different financial means so we are asking you to select the most financially generous option you can pay.

Benefactor $2,000 = $334/month for 6 months

Standard - $1,750 = $292/month for 6 months

Subsidized - $1,500 = $250/month for 6 months

This will be in reoccurring monthly instalments and will begin after being accepted into the program.

This program will have three main supports or pillars.

1. Collaboration (Learning the art and skill of listening and inquiry to support each other)

2. Mentalization (Emphasizing how we can relax, reframe, and regulate)

3. Idealized support both from imagined parents and earth-based practices

These three segments will build upon each other.

Each month will have one large group meeting, lasting 2 hours and 30 minutes, and two small group meetings which includes one small group meeting with a teacher lasting 90 minutes and one peer-group meeting with the same peers for 90 minutes.

In addition, there will be two 40-minute one-on-one meetings with a teacher in the last 3 months of the program.

Once we receive your quiz results scores (links below) we will get back to you with time slots for an interview.

We will be asking some personal questions. Your answers will be kept confidential and only the main faculty of the program will see them. Some questions may bring up painful memories. Please prioritize your well-being. Pause or do not answer questions that are upsetting to you. If you do find that you are triggered at any point, here are videos to resource you.

Name

Email

Phone

Country of Residence

Are you fluent in English?

Yes

No

This program will be entirely online using Zoom. Will this provide any obstacle for you to attend?

Yes

No

Maybe

Do you have any access needs for this online program? If yes, please explain

Please tell us about youself (e.g., your background, your work, and/or your spiritual and healing journey).

What interests you about this program?

How did you hear about this program?

How long have you been meditating?

What does your regular meditation practice consist of?

If you have a teacher or teachers, please list them here.

This program requires a base level of experience in knowing how to work with your trauma and difficult emotions. Describe your experience working with difficult emotions and triggers and applying skillful means such as loving-kindness meditation to support healing.

Are you available for the big group meeting on the second Saturday of each month from 10-12:30PM Pacific Time?

Yes

No

Will you be able to commit to attending one mentor group/month on either a Tuesday, Wednesday night, or Saturday morning Pacific Time? (There may be more times offered.)

We want to make this program available to people of different financial means, which requires participants to select the most financially generous option in order for this program to be both viable and give access to people of different economic situations. Chose what you are able to pay once accepted into the program:

Do you have a therapist?

Yes

No

How long have you been working with them?

If you don't already have a therapist, are you willing to reach out to a therapist when you aren't able to manage activations that arise? (We have a referral list of drop in therapists that work on a sliding scale).

Yes

No

Are you currently in mental health treatment of any kind? If yes, briefly describe.

Have you ever been hospitalized for mental health reasons? If yes, can you briefly explain?

How do you manage mental health symptoms in daily life?

Disclaimer. This program is not designed for anyone who in the last year has had a major loss or trauma, has been unable to function due to mental instability, or just started working on their own trauma resolution or complex PTSD. Please check yes if you qualify to participate.

Yes

No

Maybe

We require you to complete three questionnaires which will help us understand your suitability for the course, and should you be accepted, your progress as you move through the program. We want to emphasize that your privacy and confidentiality are paramount to us. All the data collected from this survey will be anonymized, ensuring that any responses you provide remain completely dissociated from your identity. No personally identifiable information will be linked to your survey responses. We have implemented a robust data security plan to safeguard your information from unauthorized access, ensuring the utmost protection. Firstly, please take the free self-assessment test called the Experiences in Close Relationships Questionnaire (link at bottom of page). Please enter the date you completed the test.

Please take the next free self-assessment test called the Schema Questionnaire (link at bottom of page). Please enter the date you completed the test.

Please take the final free self-assessment test called the Five Facet Mindfulness Questionnaire (link at bottom of page). Please enter the date you completed the test.

Once you submit this form, you will be automatically forwarded to the required assessments to complete your application to the Integrated Meditation program.

Please refer to the links below to access these assessments directly:

ECR Questionnaire

Schema Questionnaire

Five Facet Mindfulness Questionnaire

We also encourage you to watch our Redwood meditation to calm and soothe. Thank you again for your interest in this unique and impactful program.

Application for Integrated Meditation Program

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