Template No.: T115 Template Title: MEDITATION PROGRAMME OUTLINE SHEET
THE HSWAGATA BUDDHA TOOTH RELIC PRESERVATION MUSEUM
FOR INTERNAL USE ONLY
Template No.: T115
Template Title: MEDITATION PROGRAMME OUTLINE SHEET
Related Research Case IDs / Cluster: ___________________________
Linked Templates / Policies: _________________________________
Date of form: ____ / ____ / ______
Prepared by / Role: _________________________________________
Office / Unit: ______________________________________________
Country / Location: _________________________________________
Confidentiality Level (tick one):
[ ] Internal only [ ] Restricted [ ] Sacred-Restricted / Sensitive
Use of this form (tick):
[ ] New case / action [ ] Follow-up [ ] Annual review [ ] Archive only
SECTION 1 – BASIC PROGRAMME INFORMATION
1.1 Programme Title
(Example: “Calm Mind Near the Relic”, “Weekend Mindfulness Retreat”.)
1.2 Type of Event
[ ] One-time meditation session
[ ] Short course (2–5 sessions)
[ ] Retreat (day / weekend / longer)
[ ] Regular weekly practice
[ ] Special event linked to festival / ritual
[ ] Other: _________________________________________________
1.3 Target Group
[ ] HSWAGATA staff
[ ] Custodians / guardians
[ ] Volunteers / guides
[ ] Monastics
[ ] General visitors / pilgrims
[ ] Youth / students
[ ] Mixed group
[ ] Other: _________________________________________________
1.4 Date(s) and Time
Date(s): ____________________________________________________
Time (start–end): ___________________________________________
1.5 Place
[ ] Main tooth relic hall
[ ] Meditation / training room _____________________________
[ ] Temple hall ____________________________________________
[ ] Outdoor area (courtyard / garden) ______________________
[ ] Online (Zoom / other): ________________________________
[ ] Other: _________________________________________________
SECTION 2 – OBJECTIVES OF THE MEDITATION PROGRAMME
2.1 Main Objectives (write 3–5 clear goals)
After this programme, participants will:
-
-
-
-
(optional) ______________________________________________
-
(optional) ______________________________________________
2.2 Link to Relics and HSWAGATA Mission
(How does this programme support good relic custodianship and peace?)
SECTION 3 – SESSION PLAN (OUTLINE)
Use this for the whole programme. Add extra sheets if many sessions.
3.1 Overview Table
| No. | Date | Time (start–end) | Main Focus / Practice Type | Link to Relic (short note) | Lead Teacher / Facilitator |
|---|---|---|---|---|---|
| 1 | //____ | ____________ | _______________________________________ | __________________________ | __________________________ |
| 2 | //____ | ____________ | _______________________________________ | __________________________ | __________________________ |
| 3 | //____ | ____________ | _______________________________________ | __________________________ | __________________________ |
| 4 | //____ | ____________ | _______________________________________ | __________________________ | __________________________ |
| 5 | //____ | ____________ | _______________________________________ | __________________________ | __________________________ |
3.2 Practice Types Used (tick all that apply)
[ ] Mindfulness of breathing (ānāpānasati)
[ ] Body scan / awareness of body
[ ] Walking meditation
[ ] Loving-kindness (mettā)
[ ] Reflection on Buddha / qualities (Buddhānussati)
[ ] Reflection on impermanence (anicca)
[ ] Chanting with mindful listening
[ ] Silent sitting near relic (with guidance)
[ ] Other: _________________________________________________
3.3 Example Session Structure (for one session)
Opening (5–10 min):
Main practice (20–40 min):
Short break (if any):
Second practice / reflection (10–20 min):
Closing instructions and dedication of merit (5–10 min):
SECTION 4 – SAFETY & ETHICS NOTES
4.1 Group Size & Space
Maximum number of participants: __________
Room / area size suitable?
[ ] Yes [ ] No – adjustments needed: ______________________
4.2 Physical Safety
[ ] Sitting options explained (chair / cushion / bench)
[ ] People with health issues can adjust posture
[ ] Clear path to exits and toilets
[ ] First-aid kit available
[ ] Weather plan (if outdoors)
Safety notes:
4.3 Psychological Safety
[ ] Teacher explains that people may stop or rest if needed
[ ] No forced sharing of personal stories
[ ] Clear rule: participants can leave quietly if overwhelmed
[ ] Contact person for support named (after session)
Risk signs to watch (panic, strong emotion, trauma):
Plan if someone is distressed:
4.4 Ethics & Boundaries
[ ] No physical touch without clear consent
[ ] No special claims of “powers” from meditation near relics
[ ] No pressure to donate money during the practice
[ ] Clear dress and behaviour code explained with kindness
[ ] Separate sleeping / private areas for monastics and lay persons (if retreat)
Short ethics note for teacher and staff:
SECTION 5 – RELIC-RELATED GUIDANCE
5.1 Use of Relics in This Programme
[ ] Meditation is in sight of relic(s)
[ ] Meditation is near relic, but relic not visible
[ ] Relic is mentioned in teaching only
[ ] No direct link – general meditation
Short description:
5.2 Rules Around Relics During Meditation
[ ] No participant touches relics or reliquaries
[ ] No walking too close to sacred objects without guidance
[ ] Photography rules explained before session
[ ] Quiet entry and exit near relic area
[ ] Other: _________________________________________________
5.3 Doctrinal Points to Emphasise
[ ] Relics as support for faith and mindfulness
[ ] Relics not as “magic objects”
[ ] Connection between inner practice and outer respect
[ ] Impermanence and non-attachment
[ ] Other: _________________________________________________
Short doctrinal message (2–4 lines):
SECTION 6 – PARTICIPANT INFORMATION & CONSENT
6.1 Who May Join?
[ ] Open to general public
[ ] Staff / internal only
[ ] Adults only
[ ] Youth (age range: ______ to ______)
[ ] Mixed – with special rules: ____________________________
6.2 Information Given Before Programme
[ ] Basic outline of practices
[ ] Possible benefits and limits
[ ] Safety and ethics rules
[ ] Contact person for questions
[ ] Other: _________________________________________________
6.3 Registration Method
[ ] Sign-up sheet
[ ] Online form
[ ] Walk-in only
[ ] Other: _________________________________________________
Any consent or special forms? (e.g. for youth)
SECTION 7 – DEBRIEF & LEARNING PLAN
7.1 Debrief with Participants (After Each Session or Programme)
How will you close and review with them? (tick all that apply)
[ ] Short quiet reflection
[ ] Group sharing (voluntary)
[ ] Written reflection (1–2 questions)
[ ] Simple feedback form (happy / neutral / unhappy)
[ ] Teacher summary of key points
7.2 Debrief Questions (examples)
For participants (keep short and simple):
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“What did you notice in your mind or body?”
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“What was helpful?”
-
“Is there anything that felt difficult?”
Write final chosen questions here:
7.3 Internal Staff / Teacher Debrief
After the event, staff and teacher will meet (or send notes) to discuss:
[ ] What went well
[ ] What was difficult
[ ] Any safety or ethics issues
[ ] How relic connection was used
[ ] Ideas for next time
Short note space:
7.4 How Will Learning Be Used?
[ ] To improve next meditation programme
[ ] To adjust relic area use for practice
[ ] To update staff training
[ ] To build simple written guidance for visitors
[ ] Other: _________________________________________________
Details:
SECTION 8 – TEACHER / FACILITATOR DETAILS
8.1 Lead Teacher
Name: _______________________________________________________
Status:
[ ] Bhikkhu
[ ] Bhikkhunī
[ ] Other monastic
[ ] Lay teacher
[ ] Other: _________________________________________________
Background (short):
8.2 Assistant(s) / Support Staff
Name(s) and roles:
8.3 Doctrinal Approval (if needed)
Reviewer name: _____________________________________________
Role / Position: ___________________________________________
[ ] Content of meditation is in line with Dhamma and Vinaya
[ ] Use of relic area is respectful
[ ] Safety and ethics notes are suitable
Comments:
Signature: ___________________________ Date: ____ / ____ / ______
SECTION 9 – ADMIN & ARCHIVE
9.1 Budget / Resources (if relevant)
[ ] No special budget needed
[ ] Some costs (list main items):
_________________________________________________________
9.2 Archive Code / Digital Folder Path
9.3 Linked Documents
[ ] Detailed programme / timetable
[ ] Teacher profile or CV
[ ] Participant info / consent forms
[ ] Feedback summary or report
[ ] Other: _________________________________________________
Notes for future meditation programmes:
END OF FORM – T115 MEDITATION PROGRAMME OUTLINE SHEET
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