Application for Admission

Please fill out the form below and submit, or download the PDF file, and mail it to NEITC. NEITC Downloadable Application, (right-click, and Save). Get Adobe Acrobat Reader (free), required to open the PDF version of this application. If you want a hard copy of the application, just send an email with your address to contact@neitc.org.

NEITC Downloadable Application
 

1. Demographic:

Date

 (mm/dd/yyyy)

Legal Name

Other names

Address

City

State      Zip/Post Code 

Country

Phone

Email

Fax

Date of birth

 (mm/dd/yyyy)

Birth place

Sex

Please Select Gender Female Male Other

US Citizen   Green Card   Student Visa  

2. Language:

What is your first language?

If English is your second language, rate yourself in (1 is low, 9 is high):

Reading

,

Speaking

 and,

Writing

 in English.

3. Emergency contact:

Name

Relation to you

Address

City

State     Zip/Post Code 

Country

Phone

E-mail

4. How did you find NEITC? 

5. Education:

Level

Institution

Dates

From  (mm/dd/yyyy)

To    (mm/dd/yyyy)

Major

Degree

6. Written statement: In order to get to know you, as well as have a sample of your writing skill, we ask that you write briefly about each of the following topics – total 5-8 pages double-spaced. We see this as the first step in the NEITC program. We suggest that you do this in a separate document and send by mail (PO Box 28, Bellows Falls, VT 05101). Approach this writing as something of value and interest to you, as well as information to us.

a. Childhood and highlights of your life
b. Personal growth, spiritual development and meditation
c. Significant persons in your life and why
d. Significant educational and professional experiences
e. Experience in groups and community
f. Self directed learning experience and research
g. What you feel you can contribute in this program
h. Your personal and work sense of direction
i. Your health - current and part
 

7. Three letters of reference from teachers, colleagues, managers/supervisors - people who know your work or learning abilities. Click to the reference form to download...>>
 

8. Please email (contact@neitc.org) or mail a recent photo of your self.
 

I certify that the information on this application is complete and accurate.
             

Signed (Type Name):

Date

 (mm/dd/yyyy)

Send the complete application, and mail a $40 check made out to The New England Institute for Transforming Consciousness (NEITC). Applying early is encouraged. We will contact you regarding an in person or phone interview.

We thank you for your interest.

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