Date Of Birth
Phone (Please indicate if it accepts text messages)
Describe your childhood: (Where were you raised, family makeup, strongest memories – good and bad, early hopes and dreams.)
Describe your adolescence: (Major changes you experienced, activities and interests, best and worst of times.)
Describe your adulthood to date: (Achievements and experiences in career, relationships, community and personal growth, as well as course changes and what triggered them.)
Describe your current life situation: (Family and close relationships and the role you play in each,.)
What were your childhood spiritual practices and influences, if any?
What is your formal education? (High school, college or technical school and professional focus)
What attracted you to Buddhism and when did you first begin practicing?
What Buddhist studies have you done with a teacher? What teachers have you studied with, for how long, and what lead you to end your studies with them?
How many retreats have you participated in, and how long was each?:
What independent and other spiritual studies have you pursued?
What attainments have you experienced in life as a result of your spiritual practice?
What are your current meditation and other spiritual practices?
What is (are) your objectives in meditating?
What attainments have you achieved in meditation?
Do you currently lead a sangha or teach in your spiritual practice? Please describe.
Have you ever attempted to take your own life, or thought seriously of doing so?
What medications or mood-altering herbal supplements do you take on a frequent or regular basis, and for what purpose?
Do you frequently have trouble sleeping? If so, what steps do you take to aid your sleep?
Do you require any mobility accommodations such as a cane or wheelchair?
Why do you feel this is the appropriate next step for you to take?
How do you anticipate incorporating your ordination and the dharma you gain through it into your life and work?
What obstacles are you working on overcoming at present?
Please candidly describe your state of commitment to this Dharmacharya Program and why you feel you should be included among those accepted for study on this path.
Please refer to the total program cost information provided on the email attachment which describes the program in greater detail, then indicate your personal commitment below. The program fee is on a sliding-scale basis. Please indicate your preference to pay quarterly (over 8 payments), annually (2 payments) or in full. Limited scholarships are available. If you are applying for a scholarship, please explain your need for assistance.
Are there any other comments you would like to share?
Onsite activities are cancelled until further notice.