Form:Applicant: Difference between revisions
From Tsadra Foundation Advanced Contemplative Scholarships
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< | <includeonly>__NOTOC__ | ||
<div id="wikiPreview" style="display: none; padding-bottom: 25px; margin-bottom: 25px; border-bottom: 1px solid #AAAAAA;"></div> | |||
{{{for template|Applicant}}}{{{field|application|hidden}}}{{{field|submissionyear|hidden}}} | |||
{{{for template|Applicant}}} | |||
{{{field|application|hidden}}} | |||
{{{field|submissionyear|hidden}}} | |||
=== Completion === | |||
===Completion=== | |||
Completion date: {{{field|retreatcompletion|input type=datepicker}}} | {| class="smwtable-clean offwhite-bg border th-top-right w-100" | ||
|- | |||
! style="width: 300px;" | Retreat completed: | |||
| {{{field|alumni|input type=checkbox}}} | |||
|- | |||
! Completion date: | |||
| {{{field|retreatcompletion|input type=datepicker}}} | |||
|- | |||
! Notes: | |||
| {{{field|completionnotes|input type=textarea|autogrow|rows=3|cols=40}}} | |||
|- | |||
|} | |||
=== Early departure === | |||
===Early departure=== | |||
Departed on: {{{field|earlydepdate|input type=datepicker}}} | {| class="smwtable-clean offwhite-bg border th-top-right w-100" | ||
|- | |||
! style="width: 300px;" | Early departure: | |||
| {{{field|earlydep|input type=checkbox}}} | |||
|- | |||
! Departed on: | |||
| {{{field|earlydepdate|input type=datepicker}}} | |||
|- | |||
! Notes: | |||
| {{{field|ednotes|input type=textarea|autogrow|rows=3|cols=40}}} | |||
|- | |||
|} | |||
=== Funding no longer needed === | |||
== | {| class="smwtable-clean offwhite-bg border th-top-right w-100" | ||
|- | |||
! style="width: 300px;" | Funding no longer needed: | |||
| {{{field|nofunds|input type=checkbox}}} | |||
|- | |||
! As of: | |||
| {{{field|nofundsdate|input type=datepicker}}} | |||
|- | |||
! Notes: | |||
| {{{field|nofundsnotes|input type=textarea|autogrow|rows=3|cols=40}}} | |||
|} | |||
=== Banking Information === | |||
</ | {| class="smwtable-clean offwhite-bg border th-top-right w-100" | ||
|- | |||
! style="width: 300px;" | Payment Method: | |||
| {{{field|paymentmethod|property=paymentmethod|input type=dropdown|show on select=Individual Check=>check;Group Check=>check;Individual Transfer=>transfer;Group Transfer=>transfer}}} | |||
|- | |||
! Payment Contact Person: | |||
| {{{field|paymentcontact|size=40}}} | |||
|} | |||
{| class="smwtable-clean offwhite-bg border th-top-right w-100" id="check" | |||
|- | |||
! style="width: 300px;" | Check Payable to: | |||
| {{{field|payableto|size=40}}} | |||
|- | |||
! Mailing Address: | |||
| {{{field|mailaddress|input type=textarea|autogrow|rows=3|cols=40}}} | |||
|} | |||
{| class="smwtable-clean offwhite-bg border th-top-right w-100" id="transfer" | |||
|- | |||
! style="width: 300px;" | Beneficiary Bank Name: | |||
| {{{field|benefbankname|size=40}}} | |||
|- | |||
! ABA (USA): | |||
| {{{field|aba|size=40}}} | |||
|- | |||
! Swift/Chips/BIC (Out of USA): | |||
| {{{field|swiftbic|size=40}}} | |||
|- | |||
! Bank Address: | |||
| {{{field|bankaddress|input type=textarea|autogrow|rows=2|cols=40}}} | |||
|- | |||
! Bank Phone Number: | |||
| {{{field|bankphone|size=40}}} | |||
|- | |||
! Beneficiary Account Number/IBAN: | |||
| {{{field|benefaccount|input type=textarea|autogrow|rows=2|cols=40}}} | |||
|- | |||
! Beneficiary (Account Holder) Name: | |||
| {{{field|benefaccountname|input type=textarea|autogrow|rows=2|cols=40}}} | |||
|- | |||
! Beneficiary (Account Holder) Phone number: | |||
| {{{field|benefphone|size=40}}} | |||
|- | |||
! Beneficiary (Account Holder) Address: | |||
| {{{field|benefaddress|input type=textarea|autogrow|rows=2|cols=40}}} | |||
|- | |||
| colspan=2 | <center>'''If applicable, pay through:'''</center> | |||
|- | |||
! Intermediate Bank Name: | |||
| {{{field|intermbank|input type=textarea|autogrow|rows=2|cols=40}}} | |||
|- | |||
! Swift/Chips/ABA: | |||
| {{{field|intermswift|size=40}}} | |||
|- | |||
! Intermediate Bank Address: | |||
| {{{field|intermaddress|input type=textarea|autogrow|rows=2|cols=40}}} | |||
|- | |||
! Intermediate Bank Phone Number: | |||
| {{{field|intermphone|size=40}}} | |||
|} | |||
{{{end template}}} | {{{end template}}} | ||
{{{standard input|save|label=Submit | {{{standard input|save|label=Submit}}} {{{standard input|changes}}} {{{standard input|cancel}}} | ||
</includeonly> | </includeonly> |