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| Thank you for applying to our contemplative scholarship program. Below is a complete review of the information you submitted. Please save or print for your records. We will contact you shortly. | | Thank you for applying to our contemplative scholarship program. Below is a complete review of the information you submitted. Please save or print for your records. We will contact you shortly. |
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| ! colspan="2" class="text-150 font-weight-normal font-serif p-4" style="text-align: center !important; padding: 1rem 0 !important;" | <b>$firstname $lastname</b> - Application for <b>$retreattype</b>, Received on <b>$date_created</b>
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| ! Submitted on
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| | $date_created
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| |-
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| ! colspan="2" | <center>''Personal Info''</center>
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| |-
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| ! First Name
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| | $firstname
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| |-
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| ! Last Name
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| | $lastname
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| |-
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| ! Date of Birth
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| | $birthdate
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| |-
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| ! Country of Birth
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| | $birthcountry
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| |-
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| ! Country of Nationality
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| | $nationality
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| |-
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| ! colspan="2" | <center>''Address''</center>
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| |-
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| ! Street Address
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| | $street
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| |-
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| ! Address Line 2
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| | $street2
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| |-
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| ! City
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| | $city
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| |-
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| ! State / Province
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| | $stateprov
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| |-
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| ! ZIP / Postal Code
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| | $postalcode
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| |-
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| ! Country
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| | $country
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| |-
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| ! colspan="2" | <center>''Contact Info''</center>
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| |-
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| ! Email
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| | $email
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| |-
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| ! Telephone
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| | $telephone
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| |-
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| ! colspan="2" | <center>''Retreat Information''</center>
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| |-
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| ! Type of Retreat
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| | $retreattype
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| |-
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| ! colspan="2" | <center>''Three-year Retreat Details''</center>
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| |-
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| ! Retreat Center Name
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| | $center
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| |-
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| ! colspan="2" | <center>''Address''</center>
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| |-
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| ! Street Address
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| | $centerstreet
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| |-
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| ! Address Line 2
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| | $centerstreet2
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| |-
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| ! City
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| | $centercity
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| |-
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| ! State / Province
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| | $centerstateprov
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| |-
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| ! ZIP / Postal Code
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| | $centerpostalcode
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| |-
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| ! Country
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| | $centercountry
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| |-
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| ! Retreat starting date
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| | $startdate
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| |-
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| ! Retreat end date
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| | $enddate
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| |-
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| ! Retreat master
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| | $retreatmaster
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| |-
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| ! Retreat administrator
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| | $retreatadministrator
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| |-
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| ! Email
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| | $retreatadministratoremail
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| |-
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| ! Retreatant liaison person
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| | $retreatliaison
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| |-
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| ! Email
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| | $retreatliaisonemail
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| |-
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| ! colspan="2" | <center>''Solitary Retreat Details''</center>
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| |-
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| ! colspan="2" | <center>''Address''</center>
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| |-
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| ! Street Address
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| | $solcenterstreet
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| |-
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| ! Address Line 2
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| | $solcenterstreet2
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| |-
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| ! City
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| | $solcentercity
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| |-
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| ! State / Province
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| | $solcenterstateprov
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| |-
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| ! ZIP / Postal Code
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| | $solcenterpostalcode
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| |-
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| ! Country
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| | $solcentercountry
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| |-
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| ! Retreat starting date
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| | $solstartdate
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| |-
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| ! Retreat end date
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| | $solenddate
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| |-
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| ! Retreatant liaison person
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| | $solretreatliaison
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| |-
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| ! Email
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| | $solretreatliaisonemail
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| |-
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| ! Hermitage description
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| | $SolHermDescription
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| |-
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| ! colspan="2" | <center>''Education and Professional Activity''</center>
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| |-
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| ! Education
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| | $cv-edu
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| |-
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| ! Professional Activity
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| | $cv-work
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| |-
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| ! colspan="2" | <center>''Languages''</center>
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| |-
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| ! Have you studied the Tibetan language?
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| | $studiedtibetan
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| |-
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| ! What is your level of comprehension of spoken Tibetan?
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| | $spokentibcomprehension
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| |-
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| ! What is your level of comprehension of written Tibetan?
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| | $writtentibcomprehension
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| |-
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| ! To what extent is the Tibetan language a requirement for the retreat you intend to enter?
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| | $tibetanrequiredforretreat
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| |-
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| ! What parts of the retreat will function in Tibetan: for instance, instruction, group rituals, individual practice? Please describe:
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| | $tibetanretreatparts
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| |-
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| ! colspan="2" | <center>''Other languages''</center>
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| |-
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| ! Type a language you know:
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| | $otherlanguage1
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| |-
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| ! Select the proficiency level:
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| | $otherlanguage1Prof
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| |-
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| ! Type another language you know:
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| | $otherlanguage2
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| |-
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| ! Select the proficiency level:
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| | $otherlanguage2Prof
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| |-
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| ! Type another language you know:
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| | $otherlanguage3
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| |-
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| ! Select the proficiency level:
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| | $otherlanguage3Prof
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| |-
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| ! Type another language you know:
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| | $otherlanguage4
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| |-
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| ! Select the proficiency level:
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| | $otherlanguage4Prof
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| |-
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| ! Type another language you know:
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| | $otherlanguage5
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| |-
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| ! Select the proficiency level:
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| | $otherlanguage5Prof
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| |-
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| ! colspan="2" | <center>''Buddhist Background''</center>
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| |-
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| ! When did you start to study Buddhism and with whom? Please describe:
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| | $introbuddhism
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| |-
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| ! When did you take refuge, and with whom?
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| | $refugehistory
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| |-
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| ! Have you taken formal Buddhist vows (lay precepts, monastic vows, bodhisattva vow)?
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| | $formalvows
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| |-
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| ! If yes, please describe them including dates and preceptor:
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| | $formalvowsdetails
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| |-
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| ! Have you completed the (full 100,000 each of the) Preliminary Practices (Ngöndro)?
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| {| class="smwtable-clean lightblue-bg border"
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| ! !! Ngondro name !! Start date !! End date
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| |-
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| | 1 || $ngondro1 || $ngondro1begin || $ngondro1end
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| |-
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| | 2 || $ngondro2 || $ngondro2begin || $ngondro2end
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| |-
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| | 3 || $ngondro3 || $ngondro3begin || $ngondro3end
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| |-
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| | 4 || $ngondro4 || $ngondro4begin || $ngondro4end
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| |-
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| | 5 || $ngondro5 || $ngondro5begin || $ngondro5end
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| |}
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| |-
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| ! Have you partially completed the Preliminary Practices (Ngöndro)?
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| | $ngondroPartialComplete
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| |-
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| ! When did you begin?
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| | $ngondroPartialBegin
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| |-
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| ! How much have you completed? Other notes?
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| | $ngondroPartialDetails
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| |-
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| ! Have you completed previous group or individual retreats of one month or longer?
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| | $previousretreatscomplete
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| |-
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| ! If yes, please list and describe:
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| | $previousretreatsdetails
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| |-
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| ! Have you engaged in formal advanced Buddhist studies programs?
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| | $ynadvstudiesprogs
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| |-
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| ! If so, please give details:
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| | $advstudiesprogsdetails
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| |-
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| ! Have you ofered your services to your lama or Dharma community?
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| | $ynofferedservices
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| |-
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| ! In what capacity and for what length of time?
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| | $offeredservicesdetails
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| |-
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| ! Other community work?
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| | $othercommunitywork
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| |-
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| ! colspan="2" | <center>''Financial''</center>
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| |-
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| ! Estimated duration (in months) for which support is being requested
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| | $retreatduration
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| |-
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| ! Start Date
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| | $StartFunding
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| |-
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| ! End Date
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| | $EndFunding
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| |-
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| ! Estimated individual cost for the full retreat
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| | $costestimateCurrency $costestimate
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| |-
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| ! Amount being requested (in USD / EUR / GBP)
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| | $requestedamountCurrency $requestedamount
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| |-
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| ! Other sources of financial support: (personal savings, family support, sponsors) Please specify.
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| | $othermoney
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| |-
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| ! colspan="2" | <center>''Letter of Motivation''</center>
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| |-
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| ! Please describe in your own words your aspirations and reasons for wanting to do this retreat and why we should consider your application. (~ 500 words)
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| | $letterofmotivation
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| |-
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| ! colspan="2" | <center>''Required Documents for Three-year Retreat Applicants''</center>
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| |-
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| ! A letter from the lama of the retreat confirming that you have been accepted as a participant.
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| | $FileHaveAcceptLetter
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| |-
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| ! colspan="2" | Name of the lama writing the letter:
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| |-
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| ! First name
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| | $AcceptLetterAuthorFirst
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| |-
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| ! Last name
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| | $AcceptLetterAuthorLast
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| |-
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| ! Email
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| | $AcceptLetterEmail
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| |-
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| ! Phone
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| | $AcceptLetterPhone
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| |-
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| ! A letter from the retreat manager or administrator specifying the retreat costs.
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| | $FileHaveRetreatBudgCost
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| |-
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| ! colspan="2" | Name of the manager writing the letter:
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| |-
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| ! First name
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| | $CostLetterAuthorFirst
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| |-
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| ! Last name
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| | $CostLetterAuthorLast
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| |-
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| ! Email
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| | $CostLetterEmail
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| |-
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| ! Phone
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| | $CostLetterPhone
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| |-
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| ! An outline of qualifications for entering your retreat and the extent to which you satisfy these qualifications
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| | $FileHaveEligibilityDocs
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| |-
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| ! colspan="2" | <center>''Required Documents for Solitary Retreat Applicants''</center>
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| |-
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| ! A description of your proposed hermitage and of the practical support conditions that will allow you to accomplish your solitary retreat.
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| | $FileHaveSolHermDescript
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| |-
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| ! A description of your retreat program including practices and schedules.
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| | $FileHaveSolRetreatProg
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| |-
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| ! A detailed budget of your retreat costs.
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| | $FileHaveSolRetreatBudg
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| |-
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| ! colspan="2" | <center>''Required Documents for All Applicants''</center>
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| |-
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| ! A standard résumé or curriculum vitae detailing your study and work history.
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| | $FileHaveCV
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| |-
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| ! A dharma résumé or curriculum vitae detailing your dharma history (both formal study and retreat practice - no need to list transmissions received).
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| | $FileHaveDharmaCV
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| |-
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| ! A recent head and shoulders photo.
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| | $FileHavePhoto
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| |-
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| ! A clear description of your financial situation, including any personal savings or income, as well as any external sponsorship or support and your efforts to secure such support.
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| | $FileHaveDescriptFinSit
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| |-
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| ! colspan="2" | <center>''Recommendation Contacts''</center>
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| |-
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| ! colspan="2" | <center>''Number one''</center>
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| |-
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| ! First Name
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| | $recom1NameFirst
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| |-
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| ! Last Name
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| | $recom1NameLast
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| |-
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| ! Email
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| | $recom1Email
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| |-
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| ! Relationship
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| | $recom1Relate
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| |-
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| ! colspan="2" | <center>''Number two''</center>
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| |-
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| ! First Name
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| | $recom2NameFirst
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| |-
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| ! Last Name
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| | $recom2NameLast
| |
| |-
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| ! Email
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| | $recom2Email
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| |-
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| ! Relationship
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| | $recom2Relate
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| |}
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