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|SubmittedAppPage={{PAGENAME}}
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|submissionyear={{subst:CURRENTYEAR}}
|submissionyear={{#time: Y | {{{date_created|}}} }}
|submissiondate={{#if: {{#show:{{PAGENAME}}|?Creation date}} | {{#show:{{PAGENAME}}|?Creation date}} | {{subst:CURRENTYEAR}}/{{subst:CURRENTMONTH}}/{{subst:CURRENTDAY}} }}
|submissiondate={{#time: Y-m-d | {{{date_created|}}} }}
}}[[Category: Submitted Applications from Website]]</includeonly>
}}
{| class="table"
|-
! Submitted on
| {{{date_created|}}}
|-
! colspan="2" | <center>''Personal Info''</center>
|-
! First Name
| <span style="color: green;">{{{1.3|}}}</span>
|-
! Last Name
| <span style="color: green;">{{{1.6|}}}</span>
|-
! Date of Birth
| <span style="color: green;">{{{3|}}}</span>
|-
! Country of Birth
| <span style="color: green;">{{{135|}}}</span>
|-
! Country of Nationality
| <span style="color: green;">{{#if: {{{4|}}} | {{{4|}}} | {{{134|}}} }}</span>
|-
| colspan="2" | <center>''Address''</center>
|-
! Street Address
| <span style="color: green;">{{{5.1|}}}</span>
|-
! Address Line 2
| <span style="color: green;">{{{5.2|}}}</span>
|-
! City
| <span style="color: green;">{{{5.3|}}}</span>
|-
! State / Province
| <span style="color: green;">{{{5.4|}}}</span>
|-
! ZIP / Postal Code
| <span style="color: green;">{{{5.5|}}}</span>
|-
! Country
| <span style="color: green;">{{{5.6|}}}</span>
|-
! colspan="2" | <center>''Contact Info''</center>
|-
! Email
| <span style="color: green;">{{{7|}}}</span>
|-
! Telephone
| <span style="color: green;">{{{8|}}}</span>
|-
! colspan="2" | <center>''Retreat Information''</center>
|-
! Type of Retreat
| <span style="color: green;">{{{66|}}}</span>
|-
! colspan="2" | <center>''Three-year Retreat Details''</center>
|-
! Retreat Center Name
| <span style="color: green;">{{{10|}}}</span>
|-
| colspan="2" | <center>''Address''</center>
|-
! Street Address
| <span style="color: green;">{{{11.1|}}}</span>
|-
! Address Line 2
| <span style="color: green;">{{{11.2|}}}</span>
|-
! City
| <span style="color: green;">{{{11.3|}}}</span>
|-
! State / Province
| <span style="color: green;">{{{11.4|}}}</span>
|-
! ZIP / Postal Code
| <span style="color: green;">{{{11.5|}}}</span>
|-
! Country
| <span style="color: green;">{{{11.6|}}}</span>
|-
! Retreat starting date
| <span style="color: green;">{{{13|}}}</span>
|-
! Retreat end date
| <span style="color: green;">{{{14|}}}</span>
|-
! Retreat master
| <span style="color: green;">{{{15|}}}</span>
|-
! Retreat administrator
| <span style="color: green;">{{{16|}}}</span>
|-
! Email
| <span style="color: green;">{{{17|}}}</span>
|-
! Retreatant liaison person
| <span style="color: green;">{{{18|}}}</span>
|-
! Email
| <span style="color: green;">{{{19|}}}</span>
|-
! colspan="2" | <center>''Solitary Retreat Details''</center>
|-
| colspan="2" | <center>''Address''</center>
|-
! Street Address
| <span style="color: green;">{{{93.1|}}}</span>
|-
! Address Line 2
| <span style="color: green;">{{{93.2|}}}</span>
|-
! City
| <span style="color: green;">{{{93.3|}}}</span>
|-
! State / Province
| <span style="color: green;">{{{93.4|}}}</span>
|-
! ZIP / Postal Code
| <span style="color: green;">{{{93.5|}}}</span>
|-
! Country
| <span style="color: green;">{{{93.6|}}}</span>
|-
! Retreat starting date
| <span style="color: green;">{{{94|}}}</span>
|-
! Retreat end date
| <span style="color: green;">{{{95|}}}</span>
|-
! Retreatant liaison person
| <span style="color: green;">{{{96|}}}</span>
|-
! Email
| <span style="color: green;">{{{97|}}}</span>
|-
! Hermitage description
| <span style="color: green;">{{{98|}}}</span>
|-
! colspan="2" | <center>''Education and Professional Activity''</center>
|-
! Education
| <span style="color: green;">{{{100|}}}</span>
|-
! Professional Activity
| <span style="color: green;">{{{101|}}}</span>
|-
! colspan="2" | <center>''Languages''</center>
|-
! Have you studied the Tibetan language?
| <span style="color: green;">{{{70|}}}</span>
|-
! What is your level of comprehension of spoken Tibetan?
| <span style="color: green;">{{{31|}}}</span>
|-
! What is your level of comprehension of written Tibetan?
| <span style="color: green;">{{{32|}}}</span>
|-
! To what extent is the Tibetan language a requirement for the retreat you intend to enter?
| <span style="color: green;">{{{71|}}}</span>
|-
! What parts of the retreat will function in Tibetan: for instance, instruction, group rituals, individual practice? Please describe:
| <span style="color: green;">{{{34|}}}</span>
|-
! colspan="2" | <center>''Other languages''</center>
|-
! Type a language you know:
| <span style="color: green;">{{{35|}}}</span>
|-
! Select the proficiency level:
| <span style="color: green;">{{{36|}}}</span>
|-
! Type another language you know:
| <span style="color: green;">{{{37|}}}</span>
|-
! Select the proficiency level:
| <span style="color: green;">{{{38|}}}</span>
|-
! Type another language you know:
| <span style="color: green;">{{{39|}}}</span>
|-
! Select the proficiency level:
| <span style="color: green;">{{{40|}}}</span>
|-
! Type another language you know:
| <span style="color: green;">{{{41|}}}</span>
|-
! Select the proficiency level:
| <span style="color: green;">{{{42|}}}</span>
|-
! Type another language you know:
| <span style="color: green;">{{{43|}}}</span>
|-
! Select the proficiency level:
| <span style="color: green;">{{{44|}}}</span>
|-
! colspan="2" | <center>''Buddhist Background''</center>
|-
! When did you start to study Buddhism and with whom? Please describe:
| <span style="color: green;">{{{21|}}}</span>
|-
! When did you take refuge, and with whom?
| <span style="color: green;">{{{22|}}}</span>
|-
! Have you taken formal Buddhist vows (lay precepts, monastic vows, bodhisattva vow)?
| <span style="color: green;">{{{67|}}}</span>
|-
! If yes, please describe them including dates and preceptor:
| <span style="color: green;">{{{24|}}}</span>
|-
! Have you completed the (full 100,000 each of the) Preliminary Practices (Ngöndro)?
| <span style="color: green;">{{{68|}}}</span>
|-
! When did you begin?
| <span style="color: green;">{{{26|}}}</span>
|-
! When did you finish?
| <span style="color: green;">{{{27|}}}</span>
|-
! Have you completed previous group or individual retreats of one month or longer?
| <span style="color: green;">{{{69|}}}</span>
|-
! If yes, please list and describe:
| <span style="color: green;">{{{29|}}}</span>
|-
! Have you engaged in formal advanced Buddhist studies programs?
| <span style="color: green;">{{{72|}}}</span>
|-
! If so, please give details:
| <span style="color: green;">{{{46|}}}</span>
|-
! Have you ofered your services to your lama or Dharma community?
| <span style="color: green;">{{{73|}}}</span>
|-
! In what capacity and for what length of time?
| <span style="color: green;">{{{48|}}}</span>
|-
! Other community work?
| <span style="color: green;">{{{49|}}}</span>
|-
! colspan="2" | <center>''Financial''</center>
|-
! Estimated duration (in months) for which support is being requested
| <span style="color: green;">{{{51|}}}</span>
|-
! Start Date
| <span style="color: green;">{{{103|}}}</span>
|-
! End Date
| <span style="color: green;">{{{104|}}}</span>
|-
! Estimated individual cost for the full retreat (in USD / EUR / GBP)
| <span style="color: green;">{{{90|}}}</span>
|-
! Amount being requested (in USD / EUR / GBP)
| <span style="color: green;">{{{53|}}}</span>
|-
! Other sources of financial support: (personal savings, family support, sponsors) Please specify.
| <span style="color: green;">{{{54|}}}</span>
|-
! colspan="2" | <center>''Letter of Motivation''</center>
|-
! 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)
| <span style="color: green;">{{{55|}}}</span>
|-
! colspan="2" | <center>''Required Documents for Three-year Retreat Applicants''</center>
|-
! A letter from the lama of the retreat confirming that you have been accepted as a participant.
| {{#if: {{{76|}}} | <span style="color: green;">[[:File:{{FileCheck|{{{76|}}}}}|{{{76|}}}]]</span> | }}
|-
! colspan="2" | Name of the lama writing the letter:
|-
! First name
| <span style="color: green;">{{{115.3|}}}</span>
|-
! Last name
| <span style="color: green;">{{{115.6|}}}</span>
|-
! Email
| <span style="color: green;">{{{116|}}}</span>
|-
! Phone
| <span style="color: green;">{{{120|}}}</span>
|-
! A letter from the retreat manager or administrator specifying the retreat costs.
| {{#if: {{{78|}}} | <span style="color: green;">[[:File:{{FileCheck|{{{78|}}}}}|{{{78|}}}]]</span> | }}
|-
! colspan="2" | Name of the manager writing the letter:
|-
! First name
| <span style="color: green;">{{{118.3|}}}</span>
|-
! Last name
| <span style="color: green;">{{{118.6|}}}</span>
|-
! Email
| <span style="color: green;">{{{119|}}}</span>
|-
! Phone
| <span style="color: green;">{{{117|}}}</span>
|-
! An outline of qualifications for entering your retreat and the extent to which you satisfy these qualifications
| {{#if: {{{77|}}} | <span style="color: green;">[[:File:{{FileCheck|{{{77|}}}}}|{{{77|}}}]]</span> | }}
|-
! colspan="2" | <center>''Required Documents for Solitary Retreat Applicants''</center>
|-
! A description of your proposed hermitage and of the practical support conditions that will allow you to accomplish your solitary retreat.
| {{#if: {{{79|}}} | <span style="color: green;">[[:File:{{FileCheck|{{{79|}}}}}|{{{79|}}}]]</span> | }}
|-
! A description of your retreat program including practices and schedules.
| {{#if: {{{80|}}} | <span style="color: green;">[[:File:{{FileCheck|{{{80|}}}}}|{{{80|}}}]]</span> | }}
|-
! A detailed budget of your retreat costs.
| {{#if: {{{81|}}} | <span style="color: green;">[[:File:{{FileCheck|{{{81|}}}}}|{{{81|}}}]]</span> | }}
|-
! colspan="2" | <center>''Required Documents for All Applicants''</center>
|-
! A standard résumé or curriculum vitae detailing your study and work history.
| {{#if: {{{82|}}} | <span style="color: green;">[[:File:{{FileCheck|{{{82|}}}}}|{{{82|}}}]]</span> | }}
|-
! A dharma résumé or curriculum vitae detailing your dharma history (both formal study and retreat practice - no need to list transmissions received).
| {{#if: {{{83|}}} | <span style="color: green;">[[:File:{{FileCheck|{{{83|}}}}}|{{{83|}}}]]</span> | }}
|-
! A recent head and shoulders photo.
| {{#if: {{{84|}}} | <span style="color: green;">[[:File:{{FileCheck|{{{84|}}}}}|{{{84|}}}]]</span> | }}
|-
! 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.
| {{#if: {{{85|}}} | <span style="color: green;">[[:File:{{FileCheck|{{{85|}}}}}|{{{85|}}}]]</span> | }}
|-
! colspan="2" | <center>''Recommendation Contacts''</center>
|-
! colspan="2" | <center>''Number one''</center>
|-
! First Name
| <span style="color: green;">{{{125.3|}}}</span>
|-
! Last Name
| <span style="color: green;">{{{125.6|}}}</span>
|-
! Email
| <span style="color: green;">{{{126|}}}</span>
|-
! Relationship
| <span style="color: green;">{{{127|}}}</span>
|-
! colspan="2" | <center>''Number two''</center>
|-
! First Name
| <span style="color: green;">{{{129.3|}}}</span>
|-
! Last Name
| <span style="color: green;">{{{129.6|}}}</span>
|-
! Email
| <span style="color: green;">{{{130|}}}</span>
|-
! Relationship
| <span style="color: green;">{{{131|}}}</span>
|}
[[Category: Submitted Applications from Website]]</includeonly>

Latest revision as of 08:29, 24 May 2024

Retrieved from "https://tfacs.tsadra.org/index.php?title=Template:SubmittedApplication&oldid=21163"
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