Meditator Badge Application for TM® in the Golden Domes

Dear Meditator,

We want to express our warm thanks and appreciation to you for your interest in the group practice of Transcendental Meditation®. To apply for a Meditator Badge for participation in group meditation in the Golden Domes at MIU, please complete the application form below.

This is a secure page

This application is only for practitioners of the Transcendental Meditation technique applying for group meditation in the Golden Domes.

Required Information

Dome Participation

This is my first time applying for group meditation in the Golden Domes

I am currently doing group meditation in the Golden Domes and am applying to renew my Meditator Badge

I have previously participated in group meditation in the Golden Domes Please make a selection

Date of Arrival

(Or today’s date if already in the Golden Dome)

Status

Meditator

Rising Sidha (those who have begun but not yet completed the TM-Sidhi® program) Please make a selection

MIU Student

Yes

Local TM Center

(Enter NA if not known)

First Name

Middle Name

Last Name

Former Names

(Enter NA if not applicable)

Gender

Male

Female Please make a selection

Age

Country of Citizenship

Contact Information

Street Address

City

State

Zip

Country of Residence

invalid format

Preferred Phone

Alternate Phone

TM Instruction Date

(As close as possible)

TM Instruction Location

(City, State, Country)

TM Instructor

(If not remembered, gender would be helpful)

Name when you learned TM

(Enter NA if no name change)

Are you in good health?

Yes

No Please make a selection

Please describe your present state of health

I am an expectant mother

(Note to expectant mothers: Please call the Invincible America Department for guidelines.)

Do you have any special needs?

Comments

Emergency Contact information

Name

Relationship

Phone

If you are not redirected to a confirmation page, then check to be sure all required items are completed. (These will be highlighted in red.) Click here to return to top of application.

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