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| < noinclude><div class=" alumni" > | | <includeonly>__NOTOC__ |
| This is the "Applicant" form, to be used with pages on current and former scholarship recipients.
| | <div id="wikiPreview" style="display: none; padding-bottom: 25px; margin-bottom: 25px; border-bottom: 1px solid #AAAAAA;"></div> |
|
| |
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| To create a page with this form, enter below the name of the scholarship recipient for whom you'd like to create a page.
| | {{{for template|Applicant}}}{{{field|application|hidden}}}{{{field|submissionyear|hidden}}} |
|
| |
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| If a page with that name already exists, you will be sent to a form to edit that page.
| | === Completion === |
| {{#forminput:form=Applicant}}
| | |
| </div>
| | {| class="smwtable-clean offwhite-bg border th-top-right w-100" |
| </noinclude>
| | |- |
| <includeonly>__NOTOC__{{#css: #firstHeading {display: none;} }}<div id="wikiPreview" style="display: none; padding-bottom: 25px; margin-bottom: 25px; border-bottom: 1px solid #AAAAAA;"></div>
| | ! style="width: 300px;" | Retreat completed: |
| {{{for template|Applicant}}}{{{info|page name=Admin:<Application[firstname]> <Application[lastname]>}}} | | | {{{field|alumni|input type=checkbox}}} |
| <div class="appli-form simpletabs applicant">
| | |- |
| <span class="appli-form-h1">{{#ifexist:Admin:{{PAGENAME}}|Editing Applicant: {{PAGENAME}}|Creating New Applicant}}</span>
| | ! Completion date: |
| =Applicant=
| | | {{{field|retreatcompletion|input type=datepicker}}} |
| {| class="appli-form-table"
| |
| |- | | |- |
| ! Name: | | ! Notes: |
| | {{{field|firstname|placeholder=First name}}}<br>{{{field|middlename|placeholder=Middle name}}}<br>{{{field|lastname|placeholder=Last name}}}<br>{{{field|dharmaname|placeholder=Dharma name}}} | | | {{{field|completionnotes|input type=textarea|autogrow|rows=3|cols=40}}} |
| |- | | |- |
| ! Email:
| | |} |
| | {{{field|email}}}
| | |
| | === Early departure === |
| | |
| | {| class="smwtable-clean offwhite-bg border th-top-right w-100" |
| |- | | |- |
| ! During retreat: | | ! style="width: 300px;" | Early departure: |
| | {{{field|retreatliaisonemail}}} | | | {{{field|earlydep|input type=checkbox}}} |
| |- | | |- |
| ! Center or Hermitage: | | ! Departed on: |
| | {{{field|center}}} | | | {{{field|earlydepdate|input type=datepicker}}} |
| |- | | |- |
| ! Gender: | | ! Notes: |
| | {{{field|gender|property=gender}}} | | | {{{field|ednotes|input type=textarea|autogrow|rows=3|cols=40}}} |
| |- | | |- |
| ! Age:
| |
| | {{{field|age|size=10}}}
| |
| |} | | |} |
|
| |
|
| =Program= | | === Funding no longer needed === |
| {| class="appli-form-table" | | |
| | {| class="smwtable-clean offwhite-bg border th-top-right w-100" |
| |- | | |- |
| ! Type of Retreat: | | ! style="width: 300px;" | Funding no longer needed: |
| | {{{field|retreattype}}} | | | {{{field|nofunds|input type=checkbox}}} |
| |-
| |
| ! style="text-align: left;" colspan=2 | Dates for retreat (start / finish):
| |
| |- | | |- |
| ! From | | ! As of: |
| | {{{field|startdate|property=startdate|input type=datepicker|placeholder=YYYY-MM-DD}}} | | | {{{field|nofundsdate|input type=datepicker}}} |
| |- | | |- |
| ! to | | ! Notes: |
| | {{{field|enddate|property=enddate|input type=datepicker|placeholder=YYYY-MM-DD}}} | | | {{{field|nofundsnotes|input type=textarea|autogrow|rows=3|cols=40}}} |
| | |} |
| | |
| | === Banking Information === |
| | |
| | {| class="smwtable-clean offwhite-bg border th-top-right w-100" |
| |- | | |- |
| ! Previous Three-year retreat: | | ! style="width: 300px;" | Payment Method: |
| | {{{field|prev3yearretreat|input type=checkbox}}} Yes | | | {{{field|paymentmethod|property=paymentmethod|input type=dropdown|show on select=Individual Check=>check;Group Check=>check;Individual Transfer=>transfer;Group Transfer=>transfer}}} |
| |- | | |- |
| ! Application Complete: | | ! Payment Contact Person: |
| | {{{field|applicomplete|input type=checkbox}}} Yes | | | {{{field|paymentcontact|size=40}}} |
| | |} |
| | {| class="smwtable-clean offwhite-bg border th-top-right w-100" id="check" |
| |- | | |- |
| ! Quality of Application: | | ! style="width: 300px;" | Check Payable to: |
| | {{{field|appliquality}}} | | | {{{field|payableto|size=40}}} |
| |- | | |- |
| ! Quality of Letters of Recommendation: | | ! Mailing Address: |
| | {{{field|recomlettersquality}}} | | | {{{field|mailaddress|input type=textarea|autogrow|rows=3|cols=40}}} |
| |} | | |} |
| | | {| class="smwtable-clean offwhite-bg border th-top-right w-100" id="transfer" |
| =Background= | | |- |
| Family story:
| | ! style="width: 300px;" | Beneficiary Bank Name: |
| {{{field|familystory|input type=textarea}}}
| | | {{{field|benefbankname|size=40}}} |
| | | |- |
| Relationship(s):
| | ! ABA (USA): |
| {{{field|relationships|input type=textarea}}}
| | | {{{field|aba|size=40}}} |
| | | |- |
| Education and Training background:
| | ! Swift/Chips/BIC (Out of USA): |
| {{{field|edutrainback|input type=textarea}}} | | | {{{field|swiftbic|size=40}}} |
| | | |- |
| Languages:
| | ! Bank Address: |
| {{{field|languages|input type=textarea}}}
| | | {{{field|bankaddress|input type=textarea|autogrow|rows=2|cols=40}}} |
| | | |- |
| Professional activity:
| | ! Bank Phone Number: |
| {{{field|profactivity|input type=textarea}}} | | | {{{field|bankphone|size=40}}} |
| | | |- |
| Financial need:
| | ! Beneficiary Account Number/IBAN: |
| {{{field|financialneed|input type=textarea}}}
| | | {{{field|benefaccount|input type=textarea|autogrow|rows=2|cols=40}}} |
| | | |- |
| | | ! Beneficiary (Account Holder) Name: |
| =About=
| | | {{{field|benefaccountname|input type=textarea|autogrow|rows=2|cols=40}}} |
| ===Language===
| | |- |
| <span class="field-name">Native Language:</span> {{{field|language|property=language|input type=combobox}}}
| | ! Beneficiary (Account Holder) Phone number: |
| | | | {{{field|benefphone|size=40}}} |
| <span class="field-name">Other languages spoken (separate multiple entries with semicolons):</span>
| | |- |
| {{{field|otherlanguages|property=otherlanguages|input type=textarea|autogrow|rows=2|cols=85}}} | | ! Beneficiary (Account Holder) Address: |
| | | | {{{field|benefaddress|input type=textarea|autogrow|rows=2|cols=40}}} |
| ===Current activities===
| |
| <span class="field-name">Describe your current activities, employment, etc...</span>
| |
| {{{field|activities|property=activities|input type=textarea|autogrow|rows=2|cols=85}}} | |
| | |
| ===Short biography===
| |
| {{{field|bio|property=bio|input type=textarea|autogrow|rows=4|cols=85}}} | |
| | |
| ===Anything else you would like to add?===
| |
| {{{field|othernotes|property=othernotes|input type=textarea|autogrow|rows=2|cols=85}}}
| |
| | |
| ===Images===
| |
| <span class="field-name">Wiki pagenames for images of this person (separate multiple images with semicolons) {{#info:Provide the '''image''' (File:image.jpg) name from the uploaded page title.}}:</span>
| |
| {{{field|images|input type=textarea|autogrow|rows=2|cols=85}}} | |
| | |
| =Affiliations=
| |
| <span class="field-name">Retreat center name(s) {{#info:Separate multiple names with semi-colons}}:</span>
| |
| {{{field|center|property=center|input type=textarea|autogrow|rows=2|cols=85}}} | |
| | |
| <span class="field-name">Lineage association:</span>
| |
| {{{field|sila|input type=textarea|autogrow|rows=2|cols=85}}}
| |
| | |
| <span class="field-name">Root Teacher(s) {{#info:Separate multiple names with semi-colons}}:</span>
| |
| {{{field|rootteacher|property=rootteacher|input type=text|size=70}}} | |
| | |
| =Experience=
| |
| ===Practice and Study Programs===
| |
| <span class="field-name">Currently or previously attended sponsored program(s) {{#info:Please write one item per line}}:</span>
| |
| {{{field|scholarshiptype|input type=textarea|autogrow|rows=2|cols=85}}}
| |
| | |
| <span class="field-name">Retreat masters for sponsored program(s) {{#info:Separate multiple names with semi-colons}}:</span>
| |
| {{{field|progteacher|property=progteacher|input type=textarea|autogrow|rows=2|cols=85}}} | |
| | |
| {| class="appli-form-table"
| |
| |- | | |- |
| ! style="text-align: left;" colspan=2 | Dates sponsored:
| | | colspan=2 | <center>'''If applicable, pay through:'''</center> |
| |- | | |- |
| ! From | | ! Intermediate Bank Name: |
| | {{{field|startdate|property=startdate|input type=datepicker|placeholder=YYYY-MM-DD}}} | | | {{{field|intermbank|input type=textarea|autogrow|rows=2|cols=40}}} |
| |- | | |- |
| ! to | | ! Swift/Chips/ABA: |
| | {{{field|enddate|property=enddate|input type=datepicker|placeholder=YYYY-MM-DD}}} | | | {{{field|intermswift|size=40}}} |
| |- | | |- |
| ! style="max-width: 100px;" | Age at start of sponsored program: | | ! Intermediate Bank Address: |
| | {{{field|startage|size=15}}} | | | {{{field|intermaddress|input type=textarea|autogrow|rows=2|cols=40}}} |
| |- | | |- |
| | colspan=2 style="font-style: italic; font-weight: 300;" | If you were sponsored for more than one program, use the first field in this section ("Currently or previously attended sponsored program(s)") to specify dates for each program.
| | ! Intermediate Bank Phone Number: |
| | | {{{field|intermphone|size=40}}} |
| |} | | |} |
|
| |
|
| <span class="field-name">Previously completed language program(s):</span>
| | {{{end template}}} |
| {{{field|prevlangprog|input type=textarea|autogrow|rows=2|cols=85}}} | |
|
| |
|
| <span class="field-name">Previously completed study program(s):</span>
| | {{{standard input|save|label=Submit}}} {{{standard input|changes}}} {{{standard input|cancel}}} |
| {{{field|prevstudprog|input type=textarea|autogrow|rows=2|cols=85}}} | |
| | |
| <span class="field-name">Previously completed contemplation program(s):</span>
| |
| {{{field|prevcontprog|input type=textarea|autogrow|rows=2|cols=85}}} | |
| | |
| {{{end template}}} | |
| <headertabs/>
| |
|
| |
|
| {{{standard input|save|label=Submit|class=appli-button}}} {{{standard input|changes|class=appli-button}}} {{{standard input|cancel}}}
| |
| </div>
| |
| </includeonly> | | </includeonly> |
