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| <includeonly> | | <includeonly>[[firstname::{{{1.3}}}| ]][[lastname::{{{1.6}}}| ]][[retreattype::{{{66}}}| ]][[requestedamount::{{{53}}}| ]]<div class="review-button">{{#formlink:form=Application |
| {| class="table"
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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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| | <span style="color: green;">{{{1.3}}}</span>
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| |-
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| ! Last Name
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| | <span style="color: green;">{{{1.6}}}</span>
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| |-
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| ! Date of Birth
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| | <span style="color: green;">{{{3}}}</span>
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| |-
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| ! Nationality
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| | <span style="color: green;">{{{4}}}</span>
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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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| | <span style="color: green;">{{{5.1}}}</span>
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| |-
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| ! Address Line 2
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| | <span style="color: green;">{{{5.2}}}</span>
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| |-
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| ! City
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| | <span style="color: green;">{{{5.3}}}</span>
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| |-
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| ! State / Province
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| | <span style="color: green;">{{{5.4}}}</span>
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| |-
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| ! ZIP / Postal Code
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| | <span style="color: green;">{{{5.5}}}</span>
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| |-
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| ! Country
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| | <span style="color: green;">{{{5.6}}}</span>
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| |-
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| ! colspan="2" | <center>''Contact Info''</center>
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| ! Email
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| | <span style="color: green;">{{{7}}}</span>
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| |-
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| ! Telephone
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| | <span style="color: green;">{{{8}}}</span>
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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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| | <span style="color: green;">{{{66}}}</span>
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| |-
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| ! colspan="2" | <center>''Three-year Retreat Details''</center>
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| ! Retreat Center Name
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| | <span style="color: green;">{{{10}}}</span>
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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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| | <span style="color: green;">{{{11.1}}}</span>
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| |-
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| ! Address Line 2
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| | <span style="color: green;">{{{11.2}}}</span>
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| |-
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| ! City
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| | <span style="color: green;">{{{11.3}}}</span>
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| |-
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| ! State / Province
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| | <span style="color: green;">{{{11.4}}}</span>
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| |-
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| ! ZIP / Postal Code
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| | <span style="color: green;">{{{11.5}}}</span>
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| |-
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| ! Country
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| | <span style="color: green;">{{{11.6}}}</span>
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| |-
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| ! Retreat starting date
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| | <span style="color: green;">{{{13}}}</span>
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| |-
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| ! Retreat end date
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| | <span style="color: green;">{{{14}}}</span>
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| |-
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| ! Retreat master
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| | <span style="color: green;">{{{15}}}</span>
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| |-
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| ! Retreat administrator
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| | <span style="color: green;">{{{16}}}</span>
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| |-
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| ! Email
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| | <span style="color: green;">{{{17}}}</span>
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| |-
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| ! Retreatant liaison person
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| | <span style="color: green;">{{{18}}}</span>
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| |-
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| ! Email
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| | <span style="color: green;">{{{19}}}</span>
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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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| | <span style="color: green;">{{{93.1}}}</span>
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| |-
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| ! Address Line 2
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| | <span style="color: green;">{{{93.2}}}</span>
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| |-
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| ! City
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| | <span style="color: green;">{{{93.3}}}</span>
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| |-
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| ! State / Province
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| | <span style="color: green;">{{{93.4}}}</span>
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| |-
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| ! ZIP / Postal Code
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| | <span style="color: green;">{{{93.5}}}</span>
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| |-
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| ! Country
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| | <span style="color: green;">{{{93.6}}}</span>
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| |-
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| ! Retreat starting date
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| | <span style="color: green;">{{{94}}}</span>
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| |-
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| ! Retreat end date
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| | <span style="color: green;">{{{95}}}</span>
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| |-
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| ! Retreatant liaison person
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| | <span style="color: green;">{{{96}}}</span>
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| |-
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| ! Email
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| | <span style="color: green;">{{{97}}}</span>
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| |-
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| ! Hermitage description
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| | <span style="color: green;">{{{98}}}</span>
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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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| | <span style="color: green;">{{{100}}}</span>
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| |-
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| ! Professional Activity
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| | <span style="color: green;">{{{101}}}</span>
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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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| | <span style="color: green;">{{{70}}}</span>
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| |-
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| ! What is your level of comprehension of spoken Tibetan?
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| | <span style="color: green;">{{{31}}}</span>
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| |-
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| ! What is your level of comprehension of written Tibetan?
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| | <span style="color: green;">{{{32}}}</span>
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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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| | <span style="color: green;">{{{71}}}</span>
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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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| | <span style="color: green;">{{{34}}}</span>
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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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| | <span style="color: green;">{{{35}}}</span>
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| |-
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| ! Select the proficiency level:
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| | <span style="color: green;">{{{36}}}</span>
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| |-
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| ! Type another language you know:
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| | <span style="color: green;">{{{37}}}</span>
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| |-
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| ! Select the proficiency level:
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| | <span style="color: green;">{{{38}}}</span>
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| |-
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| ! Type another language you know:
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| | <span style="color: green;">{{{39}}}</span>
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| |-
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| ! Select the proficiency level:
| |
| | <span style="color: green;">{{{40}}}</span>
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| |-
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| ! Type another language you know:
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| | <span style="color: green;">{{{41}}}</span>
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| |-
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| ! Select the proficiency level:
| |
| | <span style="color: green;">{{{42}}}</span>
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| |-
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| ! Type another language you know:
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| | <span style="color: green;">{{{43}}}</span>
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| |-
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| ! Select the proficiency level:
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| | <span style="color: green;">{{{44}}}</span>
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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:
| |
| | <span style="color: green;">{{{21}}}</span>
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| |-
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| ! When did you take refuge, and with whom?
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| | <span style="color: green;">{{{22}}}</span>
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| |-
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| ! Have you taken formal Buddhist vows (lay precepts, monastic vows, bodhisattva vow)?
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| | <span style="color: green;">{{{67}}}</span>
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| |-
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| ! If yes, please describe them including dates and preceptor:
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| | <span style="color: green;">{{{24}}}</span>
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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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| | <span style="color: green;">{{{68}}}</span>
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| |-
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| ! When did you begin?
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| | <span style="color: green;">{{{26}}}</span>
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| |-
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| ! When did you finish?
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| | <span style="color: green;">{{{27}}}</span>
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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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| | <span style="color: green;">{{{69}}}</span>
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| |-
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| ! If yes, please list and describe:
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| | <span style="color: green;">{{{29}}}</span>
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| |-
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| ! Have you engaged in formal advanced Buddhist studies programs?
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| | <span style="color: green;">{{{72}}}</span>
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| |-
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| ! If so, please give details:
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| | <span style="color: green;">{{{46}}}</span>
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| |-
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| ! Have you ofered your services to your lama or Dharma community?
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| | <span style="color: green;">{{{73}}}</span>
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| |-
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| ! In what capacity and for what length of time?
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| | <span style="color: green;">{{{48}}}</span>
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| |-
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| ! Other community work?
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| | <span style="color: green;">{{{49}}}</span>
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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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| | <span style="color: green;">{{{51}}}</span>
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| |-
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| ! Start Date
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| | <span style="color: green;">{{{103}}}</span>
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| |-
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| ! End Date
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| | <span style="color: green;">{{{104}}}</span>
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| |-
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| ! Estimated individual cost for the full retreat (in USD / EUR / GBP)
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| | <span style="color: green;">{{{90}}}</span>
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| |-
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| ! Amount being requested (in USD / EUR / GBP)
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| | <span style="color: green;">{{{53}}}</span>
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| |-
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| ! Other sources of financial support: (personal savings, family support, sponsors) Please specify.
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| | <span style="color: green;">{{{54}}}</span>
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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)
| |
| | <span style="color: green;">{{{55}}}</span>
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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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| | <span style="color: green;">{{{76}}}</span>
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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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| | <span style="color: green;">{{{115.3}}}</span>
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| |-
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| ! Last name
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| | <span style="color: green;">{{{115.6}}}</span>
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| |-
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| ! Email
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| | <span style="color: green;">{{{116}}}</span>
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| |-
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| ! Phone
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| | <span style="color: green;">{{{120}}}</span>
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| |-
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| ! A letter from the retreat manager or administrator specifying the retreat costs.
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| | <span style="color: green;">{{{78}}}</span>
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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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| | <span style="color: green;">{{{118.3}}}</span>
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| |-
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| ! Last name
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| | <span style="color: green;">{{{118.6}}}</span>
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| |-
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| ! Email
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| | <span style="color: green;">{{{119}}}</span>
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| |-
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| ! Phone
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| | <span style="color: green;">{{{117}}}</span>
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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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| | <span style="color: green;">{{{77}}}</span>
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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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| | <span style="color: green;">{{{79}}}</span>
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| |-
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| ! A description of your retreat program including practices and schedules.
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| | <span style="color: green;">{{{80}}}</span>
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| |-
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| ! A detailed budget of your retreat costs.
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| | <span style="color: green;">{{{81}}}</span>
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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.
| |
| | <span style="color: green;">{{{82}}}</span>
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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).
| |
| | <span style="color: green;">{{{83}}}</span>
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| |-
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| ! A recent head and shoulders photo.
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| | <span style="color: green;">{{{84}}}</span>
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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.
| |
| | <span style="color: green;">{{{85}}}</span>
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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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| | <span style="color: green;">{{{125.3}}}</span>
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| |-
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| ! Last Name
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| | <span style="color: green;">{{{125.6}}}</span>
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| |-
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| ! Email
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| | <span style="color: green;">{{{126}}}</span>
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| |-
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| ! Relationship
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| | <span style="color: green;">{{{127}}}</span>
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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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| | <span style="color: green;">{{{129.3}}}</span>
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| |-
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| ! Last Name
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| | <span style="color: green;">{{{129.6}}}</span>
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| |-
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| ! Email
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| | <span style="color: green;">{{{130}}}</span>
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| |-
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| ! Relationship
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| | <span style="color: green;">{{{131}}}</span>
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| |}
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| <onlyinclude>[[firstname::{{{1.3}}}| ]][[lastname::{{{1.6}}}| ]][[retreattype::{{{66}}}| ]][[requestedamount::{{{53}}}| ]]<div class="review-button">{{#formlink:form=Application
| |
| |link text=<i class="fal fa-search"></i> Review Submission <i class="fas fa-angle-right"></i> | | |link text=<i class="fal fa-search"></i> Review Submission <i class="fas fa-angle-right"></i> |
| |link type=link | | |link type=link |
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| |tooltip=Bring this data into the standard Application form. | | |tooltip=Bring this data into the standard Application form. |
| |new window | | |new window |
| }}</div>[[Category: Submitted Applications from Website]]</onlyinclude></includeonly> | | }}</div>[[Category: Submitted Applications from Website]]</includeonly> |