Zen & Politics

Confirmation of Participation & Registration

Please complete the form below to confirm your spot in Chozen-ji’s Zen & Politics: The Way of Public Leadership, May 10 - June 23, 2024.

Registration Information

Name

First Name

Last Name

Email

Phone

(###)

###

####

Please share any food allergies or dietary restrictions.

Do you need private sleeping accommodations?

If you are comfortable sharing the reason for needing private sleeping quarters, please do. E.g., if you use a CPAP machine, snore, or are uncomfortable sleeping in the Dojo with individuals of another gender.

Emergency Contact

Name and phone of the person we should call in case of emergency.

Reasons for Participation

Please provide your bio (to be shared with guest speakers).

Where you're from, personal and professional achievements, etc in 100-200 words.

How will participating in Zen & Politics help you better serve Hawaii?

Please answer in 100-200 words.

What is the thing—in yourself or in your approach to public leadership—that you most want to apply learnings from this program to?

Please answer in 100-200 words.

Confirmation of participation

Confirm that you will join Zen & Politics

Participants will be expected to join two 48-hour residential periods at Chozen-ji (Friday-Sunday, May 10-12 and June 21-23), as well as activities on Thursday evenings, 6-8:30PM May 16-June 13 2023, with a minimal number of Thursday evenings missed.

Yes, I confirm my participation in Chozen-ji's Zen & Politics program