Residency Application | Karmê Chöling

Name

Email

Primary Phone number

Secondary Phone

Preferred method of contact

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Have you ever been to Karmê Chöling?

Please let us know when and for what you were previously at Karmê Chöling.

When would you like to move to Karmê Chöling?

How long would you plan to live at Karmê Chöling?

(minimum stay for residency is 1 month)

Goals for Residency

Please share your reason(s) for wanting to live at Karmê Chöling.

Your age

What are your preferred pronouns?

What members of your household would be living with you?

Your household

List all members of your household who would be living with you at Karmê Chöling. Please include name, age (for children), and relationship.

What was the last program you participated in on your Shambhala Path?

When and where.

Do you have a meditation practice?

Please describe your practice, how long you have been meditating and what your daily/weekly time of practice is.

Have you completed any Shambhala Training Levels?

Which is the last level that you completed?

Are you affiliated with a Shambhala Center?

Which Shambhala Center are you affiliated with?

Please describe your center activities or other dharma work, including if you are an MI, AD, SG or a member of the Kasung

Meditation instructor or teacher within Shambhala

Name, phone, email, relationship to you

Personal reference (not a family member)

Name, phone, email, relationship to you

Requested Housing Arrangement (1 person, per month)

Food (per month and required)

Additional Housing Requests (per month)

Can you demonstrate a steady source of income or savings sufficient to cover the cost of your residency for at least 3 months?

Are you employed?

Will you be working remotely while you live here?

Other

Who is your employer?

What is your occupation?

Please share anything else you'd like us to know about yourself:

Care & Conduct Policies

All participants and staff are required to follow our Code of Conduct. Please read this document carefully.

COVID Policy

Code of Conduct

Do you have any chronic illnesses or health concerns?

If yes, please describe:

What kind of diet do you have?

Do you have any dietary concerns or special dietary needs?

Please include food allergies.

Do you have any mental or physical health concerns that you would like to share with us? How can Karmê Chöling support you in this regard? How are you supporting yourself?

CAPTCHA

Your Signature