Residency Application | Karmê Chöling

What was the last program you participated in on your Shambhala Path?*
When and where.
Do you have a meditation practice?*

YesNo
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?*

YesNo
Which is the last level that you completed?
Are you affiliated with a Shambhala Center?*

YesNo
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

Care & Conduct Policies

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

I have read and agree to follow Karmê Chöling's COVID Policy
Code of Conduct

I have read and agree to follow Karmê Chöling's Code of Conduct
Do you have any chronic illnesses or health concerns?*

YesNo
If yes, please describe:
What kind of diet do you have?*

VeganVegetarianOmnivoreGluten-freeOther
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

Powered by Jotform SignClear
Should be Empty: