Center for Sacred Sciences
1430 Willamette St., #164
Eugene, OR 97401-4049

New Member Background Questionnaire

Please complete the following form. When you are finished, click 'DONE' at the bottom of the page, print a hard copy, and return to the Center.

Full Name:

Email Address:

Location (City, State, Country):

Your Approximate Age:

Gender:

Do you live alone?

1. Please describe your educational and occupational background.

2. Please list any religious or spiritual tradition(s) you were brought up in, and describe the ways your experience was positive, negative, or indifferent.

3. Please list any religious or spiritual tradition(s) you have been involved with as an adult, and describe the ways your experience has been positive, negative, or indifferent.

4. Briefly describe any meditation or prayer practices you have undertaken in a disciplined way, and for how long:

5. If you have ever had what you consider to be a spiritual dream, please describe the most significant spiritual dream you have had.

To verify that you are a human, please enter the number of eggs in a dozen:

To complete your course registration, please complete the course registration, order, and pledge form.