Cleveland TM Retreats

Status(Required)

Governor (TM Teacher)

Sidha (Graduate of the TM-Sidhi program)

Rising Sidha (Partial completion of TM-Sidhi program)

TM Meditator

Type of course to which you are applying(Required)

World Peace Assembly (WPA)

One-Day World Peace Assembly (WPA)

Type of course to which you are applying(Required)

TM Retreat

One-Day TM Retreat

Type of course to which you are applying(Required)

Online Extended Super-Radiance Program

Type of course to which you are applying(Required)

Online Half-Day TM Retreat

Personal & Contact Information

First Name(Required)

Middle Name (Please enter NA if not applicable)(Required)

Last Name(Required)

Previous Name(s), if any (Please enter NA if not applicable)(Required)

Date of Birth(Required)

Gender(Required)

Male

Female

Other

Last 4 digits of your SSN# (This information will be kept secure.)(Required)

Address(Required)

Country of Citizenship(Required)

I am not a U.S. citizen, but I am a permanent U.S. resident

Email Address(Required)

Primary Phone(Required)

Secondary Phone

Please specify if any of the phone numbers above is a cell phone

Primary phone

Secondary phone

Do we have permission to text you?(Required)

Yes

Name of local TM Center or name of local TM Teacher(s) if no TM Center(Required)

(Enter NA if no contact with TM Center/Teacher)

Questions about your TM Instruction course

TM Instruction Date(Required)

TM Instruction Date is approximate

TM Instruction Location (city/state)(Required)

TM Instructor(Required)

Is this your first TM Retreat?(Required)

Yes

Information about your TM-Sidhi Course

TM-Sidhi Course Type(Required)

(CIC, CAC, AEGTC, etc.)

TM-Sidhi Course Dates (Approx)(Required)

TM-Sidhi Course Location (city/state)(Required)

Information about the most recent course that you attended

Most recent course type(Required)

(In-Residence TM Retreat, One-Day TM Retreat, Online Half-Day TM Retreat)

Most recent Course Dates (Approx)(Required)

Most recent course location (city/state)(Required)

Information about the most recent course that you attended

Most recent course type(Required)

(WPA, Invincible America Assembly, CCP, TM-Sidhi course, etc.)

Most recent course type(Required)

(TM-Sidhi course, In-Residence TM Retreat, One-Day TM Retreat, Online Half-Day TM Retreat)

Most recent Course Dates (Approx)(Required)

Most recent course location (city/state)(Required)

Health and diet information

Are you in good health?(Required)

Yes

Please describe your present state of health.(Required)

I am an expectant mother.

Yes

Note to expectant mothers: Please contact the TM Center hosting the Retreat regarding attendance policy.

Are you comfortable with the vegetarian course diet?(Required)

Yes

Do you have any special dietary needs?(Required)

Yes

If yes, please explain your dietary needs.

Special Requirements (e.g. accessibility, etc.)

Any restrictions re. activity? Please describe:

Emergency Contact

Emergency Contact Name(Required)

Emergency Contact Relationship(Required)

Emergency Contact Phone(Required)

Comments & Questions

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Application Type

IMPORTANT: After you click on SUBMIT to apply for this course, please make sure you see the confirmation screen and that you receive an application confirmation email. If you receive neither, we did not receive your application. Thank you.