Spiritual Director: Gen-la Kelsang Khyenrab A Member of the New Kadampa Tradition - International Kadampa Buddhist Union
Please fill in this form 'online' and either click the 'Submit' button below or print it out and send it to us by post to:- Tara Mahayana Buddhist Centre, Ashe Hall, Ash Lane, Etwall, Derbyshire, DE65 6HT, UK
Fields marked with an * must be completed:
Email address: *
Contact Name: *
Street address Line 1 *
Street address Line 2 *
City / Town *
County *
Postal Code *
Phone (including area code) *
Age *
Gender (Male / Female) *
What date would you like to arrive? (DD/MM/YY) *
What date would you like to depart? (DD/MM/YY) *
Next of kin: (Name) *
Contact number of next of kin in case of emergency *
Have you visited a Dharma Centre before? (Yes/No)
If Yes: Which one?
Are you from another NKT Centre? (Yes/No)
If Yes - Which one?
Who is your teacher?
What position did you hold in your last place of employment? *
Please provide a name & contact details for a professional and / or character reference *
Do you have any skills? e.g. building, painting, gardening etc. *
Do you have any physical or mental disabilities that would be helpful for us to know about? *
Please list all medication that you currently take: *
What are your reasons for coming to Tara KMC? *
Please list any other background information about yourself or your interests that would be useful for us to know (optional):
If you are interested in becoming a resident at this Centre, then you need to apply in writing to the Administrative Director. At the end of your stay you are required to leave the Centre. You will be notified afterwards if your application for residency is successful.