How to Apply - Tara Mandala

Application Process

To enroll in Magyu: The Mother Lineage you must fill out an application and be interviewed by Dorje Lopön Charlotte Rotterdam. You will be contacted to schedule your interview.

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Name
First Last
Preferred Pronoun (Optional)
Email
Enter Email Confirm Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Cell Phone
International Phone
Skype Address
Date of Birth
MM slash DD slash YYYY
Occupation
Emergency Contact Name
First Last
Relationship to Emergency Contact
Phone Number for Emergency Contact
Are you a student of Lama Tsultrim Allione?
Which retreat(s) or online program(s) have you completed with Lama Tsultrim Allione or one of Tara Mandala's Teachers?
Please include the Name, Teacher(s), Date, and Location for each program you have completed.
What draws you to this program?
Please describe in detail the history of your spiritual path:
Please write a detailed paragraph on your intention and plans for this program:
Do you have any fears or concerns about the program?
I understand that this program should not be considered as an alternative to therapeutic treatment.
- Yes
Do you have questions or concerns about the above statement?
If you are a Sustaining Sangha Sponsor, what is your sponsor level?
Please add any additional comments here.
You may upload additional information here.
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