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Volunteer Application for Vietnamese Retreat - Make reservation
Deer Park Monastery
»
Volunteer Application for Vietnamese Retreat
» Make reservation
Available
•
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Start Date
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Your rate:
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Reservation details
Resource
*
Family Retreat Waiting List
YMCA of the Rockies: Space in a 2-person Emerald Room
YMCA of the Rockies: Space in a 5-person Room
Family Retreat 3 Bed Dorm Space
Family Retreat 6 Bed Dorm Space
Family Retreat Bring Your Own Tent
Gathering: Dorm Space
International Online Retreat (Chinese) 國際在線禅修營
International Online Retreat in English
Khóa tu Trực tuyến Quốc tế
Retiro Internacional En Línea
Gathering: Bring Your Own Tent
Lunar New Year
Mindful Backpacking Retreat
Online Retreat Chrysanthemum Rate
BIPOC Retreat 3 Bed Dorm Space
BIPOC Retreat 6 Bed Dorm Space
BIPOC Retreat Bring Your Own Tent
BIPOC Retreat Commuter
Rains Retreat Dorm Space
Rains Retreat Bring Your Own Tent
Seasonal Retreat 3 Bed Dorm Space
Seasonal Retreat 6 Bed Dorm Space
Seasonal Retreat Bring Your Own Tent
Volunteer Application for BIPOC Retreat
Volunteer Application for Mindful Music Festival
Volunteer Application for Family Retreat
Volunteer Application for Teen Camp
Volunteer Application for Vietnamese Retreat
Volunteer Application for Wake Up Retreat
Teen Camp
Khoá Tu Tiếng Việt: Lều
BIPOC Retreat Waiting List
Climate Action Retreat - Cabin Space
Wake Up Retreat 3 Bed Dorm Space
Wake Up Retreat 6 Bed Dorm Space
Wake Up Retreat Bring Your Own Tent
Arrival Date
*
Retreatant First Name
*
Retreatant Last Name
*
Retreatant Age
*
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94
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96
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100
Retreatant Date of Birth
*
mm/dd/yyyy (four-digit year)
Retreatant Gender
*
Retreatant First Language
*
---
English
Albanian
Arabic
Cantonese
Catalan
Chinese
Danish
Dutch
English
Farsi
Finnish
French
German
Hebrew
Hindi
Hmong
Indonesian
Italian
Japanese
Korean
Norwegian
Polish
Portuguese
Romanian
Russian
Spanish
Swedish
Tagalog
Thai
Vietnamese
Other
Retreatant Second Language
---
None
Albanian
Arabic
Cantonese
Catalan
Chinese
Danish
Dutch
English
Farsi
Finnish
French
German
Hebrew
Hindi
Hmong
Indonesian
Italian
Japanese
Korean
Norwegian
Polish
Portuguese
Romanian
Russian
Spanish
Swedish
Tagalog
Thai
Vietnamese
Other
Sangha or Group
If you practice with a local Sangha or meditation group, please write the name of the group in the space provided.
Bring Tent to Camp
*
---
I can bring my own tent
I request indoor accommodations
We ask all volunteers to please bring their own tent to camp, if at all possible. If you require other accommodations, kindly explain in the "Notes" section of this form. Please select from the options above.
Additional Volunteer Contribution
$0
$75
$200
$325
$500
Approved volunteers will have the opportunity to participate in many of the retreat's scheduled activities. If you feel inspired and have the means, we would greatly appreciate your additional support. The amount selected will be added only once to the minimum $25 application fee. The regular camping fee for this retreat is $340.
Volunteer Questions
Deer Park Experience*
What is your previous experience with Deer Park Monastery?
Plum Village Tradition Experience
If not answered in the previous question, what is your experience in the Plum Village Tradition?
Retreat Volunteer Experience*
Have you worked as a volunteer for the monastery before and if so, what was your assignment?
Service Family
For those with volunteer experience at Deer Park, is there a service family that you would be happy to lead?
Reference*
Is there a monastic currently residing at Deer Park who knows you and can act as a reference? If you do not have a reference, please answer no.
First Aid Experience
*
---
No: I cannot administer first aid
Yes: I am trained to administer first aid
Yes: I am certified to administer first aid
Yes: I am a medical professional
Please click on the drop-down arrow to select your level of first aid experience. Experience in this field is not required to serve as a volunteer.
Work Experience
If not previously mentioned, what training, skills, and/or past experience can you offer to the retreat?
Reasons for Applying to Volunteer*
Why would you like to volunteer for this retreat?
Medical Information
Allergies
Please describe any allergies you may have. Kindly note that we are unable to accommodate special diets and we do not have a cooking space for guests. If you are on a special diet, you may wish to bring some vegetarian food that does not require preparation to supplement your meals.
Physical Health History
Please describe any ongoing medical conditions you may have and any medications you take for your physical health.
Mental Health History
If you have been diagnosed with a psychiatric or psychological condition, please explain and list any medications you take for mental health.
Doctor's Name
Doctor's Telephone Number
Liability Waiver
*
By checking the box above, I and all parties on this registration relieve Deer Park Monastery from all liabilities in the event of any injury or illness incurred while visiting Deer Park Monastery.
Mindfulness Trainings
Have you received the Mindfulness Trainings?
*
I have not received the 5 or 14 Mindfulness Trainings
I have received the 5 Mindfulness Trainings
I have received the 14 Mindfulness Trainings
I am a dharma teacher in this tradition
Please use the drop-down menu to select an answer.
Ceremony Information
*
If applicable, when and where did you receive the Mindfulness Trainings? If not applicable, please enter N/A.
Dharma Name
If you have been given a dharma or lineage name, please enter it here.
Billing Details
First name
*
Last name
*
Address
*
City
*
ZIP/Postal code
*
State/Province
*
Country
*
United States
Canada
Viet Nam
United Kingdom
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Belgium
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Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
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Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Rep.
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curaçao
Cyprus
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Denmark
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Iraq
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Malta
Marshall Islands
Martinique
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Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
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Saint Kitts and Nevis
Saint Lucia
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Venezuela
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Virgin Islands, U.s.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Email address
*
Type your email address again
*
Phone
*
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United Kingdom (44)
Mexico (52)
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Mobile
+1
-- country code --
Canada / USA (1)
United Kingdom (44)
Mexico (52)
---
Afghanistan (93)
Albania (355)
Algeria (213)
Andorra (376)
Angola (244)
Antarctica (672)
Antilles / Martinique (596)
Argentina (54)
Armenia (374)
Aruba (297)
Australia (61)
Austria (43)
Azerbaijan (994)
Bahamas (242)
Bahrain (973)
Bangladesh (880)
Barbados (246)
Belarus (375)
Belgium (32)
Belize (501)
Bermuda (441)
Bhutan (975)
Bolivia (591)
Bosnia and Herzegovina (387)
Botswana (267)
Brazil (55)
Brunei (673)
Bulgaria (359)
Burkina Faso (226)
Burundi (257)
Cambodia (855)
Cameroon (237)
Canada / USA (1)
Chile (56)
China (86)
Colombia (57)
Congo-Brazzaville (242)
Congo-Kinshasa (243)
Cook Islands (682)
Costa Rica (506)
Croatia (385)
Cuba (53)
Curacao (599)
Cyprus (357)
Czech Republic (420)
Denmark (45)
Diego Garcia (246)
Djibouti (253)
Dominica (809)
Ecuador (593)
Egypt (20)
El Salvador (503)
Estonia (372)
Faeroe Islands (298)
Falkland (500)
Fiji Islands (679)
Finland (358)
France (33)
French Polynesia (689)
Guiana (594)
Gabon Republic (241)
Gambia (220)
Georgia (995)
Germany (49)
Ghana (233)
Gibraltar (350)
Greece (30)
Greenland (299)
Grenada (473)
Guadeloupe (590)
Guam (671)
Guatemala (502)
Guyana (592)
Haiti (509)
Honduras (504)
Hong Kong (852)
Hungary (36)
Iceland (354)
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Indonesia (62)
Iran (98)
Iraq (964)
Ireland (353)
Israel (972)
Italy (39)
Jamaica (876)
Japan Idc (81)
Japan Kdd (81)
Jordan (962)
Kenya (254)
Kiribati (686)
Korea, North (850)
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Kosovo (383)
Kuwait (965)
Laos (856)
Latvia (371)
Lebanon (961)
Lesotho (266)
Liberia (231)
Libya (218)
Liechtenstein (423)
Lithuania (370)
Luxembourg (352)
Macao (853)
Macedonia (389)
Madagascar (261)
Malawi (265)
Malaysia (60)
Maldives (960)
Mali Republic (223)
Malta (356)
Marshall Islands (692)
Martinique / Antilles (596)
Mauritania (222)
Mauritius (230)
Mayotte Island (269)
Mexico (52)
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Moldova (373)
Monaco (33)
Montserrat (473)
Morocco (212)
Mozambique (258)
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Namibia (264)
Nauru (674)
Nepal (977)
Netherlands (31)
Antilles (599)
New Caledonia (687)
New Zealand (64)
Nicaragua (505)
Nigeria (234)
Niger Republic (227)
Niue (683)
Norfolk Island (672)
Norway (47)
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Panama (507)
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Qatar (974)
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Rwanda (250)
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Singapore (65)
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Solomon Islands (677)
Somalia (252)
South Africa (27)
Spain (34)
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Sudan (249)
Suriname (597)
Swaziland (268)
Sweden (46)
Switzerland (41)
Syria (963)
Taiwan (886)
Tanzania (255)
Thailand (66)
Togo (228)
Tonga Islands (676)
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Serbia (381)
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Zimbabwe (263)
Emergency Contact
Name of Emergency Contact
*
Your emergency contact will only be notified in the event of an emergency.
Relation to you
*
Telephone Number of Contact
*
Language of Contact
---
English
Albanian
Arabic
Cantonese
Catalan
Chinese
Danish
Dutch
English
Farsi
Finnish
French
German
Hebrew
Hindi
Hmong
Indonesian
Italian
Japanese
Korean
Norwegian
Polish
Portuguese
Romanian
Russian
Spanish
Swedish
Tagalog
Thai
Vietnamese
Other
Additional info
Volunteer Cancellation Policy
*
In the event that I cannot serve as a volunteer, I agree to notify the registration office at Deer Park Monastery by e-mail or phone. I understand that the $25 application fee is non-refundable (except if my application is declined) and that registration is non-transferable.
Retreat Participation Policy
*
By checking this box, I acknowledge that I am applying for a mindfulness retreat volunteer program. If accepted, I understand that I am expected to participate in the daily retreat schedule of the monastery and to practice according to the Five Mindfulness Trainings during my stay (please see "The Mindfulness Trainings" page of our website for more info). I also understand that I am expected to remain on the monastery grounds for the duration of my retreat, unless I receive permission to leave and entry information to reenter. Further, I understand that, except in cases of emergency, I will not have regular access to monastery phones, computers, internet, or Wi-Fi, and that outside work, school, and family obligations must be set aside during my stay.
May we keep in contact?
*
Yes: you have permission to contact me
No: I prefer not to be contacted
Please click on the drop-down arrow to select yes or no. We would like to keep in touch with you, to nourish you with news about the Plum Village tradition practice and community. We will keep your information safe and secure and we won’t share it with other organizations. You will always be able to unsubscribe easily through a link at the bottom of our e-mails. For further details on how your data are used and stored, please visit: https://deerparkmonastery.org/privacy-policy/
Retreat at Monastery
*
Please select an answer
Yes: this is my first retreat in this tradition
No: I have attended a retreat at Deer Park Monastery
No: I have attended a retreat at another monastery
I have attended an online retreat
Unsure: I need more information
Is this your first time attending a retreat at this monastery or any other monastery founded by Thich Nhat Hanh?
Notes
Enter additional notes here.
*
- required field