Form:Application: Difference between revisions
From Tsadra Foundation Advanced Contemplative Scholarships
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| Line 37: | Line 37: | ||
! Street: | ! Street: | ||
| {{{field|street}}} | | {{{field|street}}} | ||
!City: | |- | ||
! City: | |||
| {{{field|city}}} | | {{{field|city}}} | ||
|- | |||
! State or Province: | ! State or Province: | ||
| {{{field|stateprov}}} | | {{{field|stateprov}}} | ||
|- | |||
! Postal Code: | ! Postal Code: | ||
| {{{field|postalcode|size=15}}} | | {{{field|postalcode|size=15}}} | ||
|- | |||
! Country: | ! Country: | ||
| {{{field|country}}} | | {{{field|country}}} | ||
| Line 52: | Line 56: | ||
! Email: | ! Email: | ||
| {{{field|email}}} | | {{{field|email}}} | ||
|- | |||
! Telephone: | ! Telephone: | ||
| {{{field|telephone}}} | | {{{field|telephone}}} | ||
| Line 62: | Line 67: | ||
! Retreat Center Name: | ! Retreat Center Name: | ||
| {{{field|center}}} | | {{{field|center}}} | ||
|- | |||
! Street: | ! Street: | ||
| {{{field|centerstreet}}} | | {{{field|centerstreet}}} | ||
|- | |||
! City: | ! City: | ||
| {{{field|centercity}}} | | {{{field|centercity}}} | ||
|- | |||
! State or Province: | ! State or Province: | ||
| {{{field|centerstateprov}}} | | {{{field|centerstateprov}}} | ||
|- | |||
! Postal Code: | ! Postal Code: | ||
| {{{field|centerpostalcode|size=15}}} | | {{{field|centerpostalcode|size=15}}} | ||
|- | |||
! Country: | ! Country: | ||
| {{{field|centercountry}}} | | {{{field|centercountry}}} | ||
|- | |||
! Application is for: | ! Application is for: | ||
| {{{field|retreattype|input type=radiobutton|mandatory|default=Three-year retreat}}} | | {{{field|retreattype|input type=radiobutton|mandatory|default=Three-year retreat}}} | ||
|- | |||
! Retreat starting date: | ! Retreat starting date: | ||
| {{{field|startdate|input type=datepicker}}} | | {{{field|startdate|input type=datepicker}}} | ||
|- | |||
! Retreat end date: | ! Retreat end date: | ||
| {{{field|enddate|input type=datepicker}}} | | {{{field|enddate|input type=datepicker}}} | ||
|- | |||
! Retreat master: | ! Retreat master: | ||
| {{{field|retreatmaster|size=60}}} | | {{{field|retreatmaster|size=60}}} | ||
|- | |||
! Retreat administrator: | ! Retreat administrator: | ||
| {{{field|retreatadministrator|size=60}}} | | {{{field|retreatadministrator|size=60}}} | ||
|- | |||
! :Email: | ! :Email: | ||
| {{{field|retreatadministratoremail}}} | | {{{field|retreatadministratoremail}}} | ||
|- | |||
! Retreatant liason person: | ! Retreatant liason person: | ||
| {{{field|retreatliaison|size=60}}} | | {{{field|retreatliaison|size=60}}} | ||
|- | |||
! :Email: | ! :Email: | ||
| {{{field|retreatliaisonemail}}} | | {{{field|retreatliaisonemail}}} | ||
Revision as of 11:00, 20 June 2016
This is the "Application" form. To create a page with this form, enter the page name below; if a page with that name already exists, you will be sent to a form to edit that page.
