stupa buddhism Tushita Meditation Centre meditation FPMT
 

INTERMEDIATE COURSE REGISTRATION FORM

*** WE ARE CURRENTLY HAVING SOME PROBLEMS WITH OUR EMAIL ACCOUNT - PLEASE CONTINUE TO FILL OUT THE FOLLOWING FORM, BUT IF YOU HAVEN'T HEARD FROM US IN 3 OR 4 DAYS, PLEASE DO EMAIL US AT spc(at)tushita.info TO CHECK THAT WE RECEIVED YOUR FORM. APOLOGIES (we're working on it!) AND THANKS FOR YOUR PATIENCE***
Please Note: Intermediate Level Courses are for people who have previously studied Tibetan Buddhist Philosophy. As a minimum we ask that Intermediate Level students have taken one of our 10-day "Introduction to Buddhism" courses or equivalent. If you do not have such experience, we will recommend that you take one of our excellent Introduction to Buddhism courses beforehand (equally appropriate for beginners as well as those with some background knowledge). This is also the case even if you have studied within another tradition; specifically, a 10-day Vipassana course is not sufficient preparation to take one of our Intermediate Level courses.

Before filling out this registration form please make sure that you carefully read all the information on our website regarding our Intermediate Level courses (basic course discipline, what to bring etc.) Please register for a course only if you are sure you will attend.

Please make also sure that you are in sound physical & mental health when you come to attend one of our courses! If you feel sick please try to visit a doctor to receive adequate advice and medications BEFORE you start the course. We must consider the welfare of all students on our group retreats. 

This form will be read only by the course teachers and Tushita management. Any information given will be held in strict confidence.

Please state which intermediate course
you would like to attend (title and dates).
PERSONAL INFORMATION  
Full Name
Email Address
Nationality
Country of current residence
Date of birth
Gender Male Female
Are you an ordained monk or a nun? Yes No
MENTAL & PHYSICAL HEALTH  
Have you lately / presently experiencing severe emotional stress or depression? Yes No
If yes, do you feel stable and relaxed enough to participate on this course, given that we cannot provide one-on-one counselling? Please give details.
Are you presently taking any medication? Yes No
If yes, what for?
Have you ever been in psychiatric care? Yes No
If so when?
COURSE INFORMATION & DISCIPLINE
Have you read all the information on our website about this course carefully? Yes No
Do you agree to keep the discipline of the course? Yes No
PREVIOUS EXPERIENCE  
How many years have you been studying and practicing Buddhism? In which tradition?
Have you taken Refuge in the Buddha, Dharma, Sangha? When ? Yes NoWhen
What Course (Lam Rim) experience do you have?
* A one-month Kopan course? 
* A 10-day Intro course at Tushita or Kopan?
* Others?  Please explain
Have you ever done a strict practice retreat before (i.e. doing 4 sessions of PRACTICE each day—this does NOT include courses)? Yes No
If yes, please describe your retreat experience. 
Why do you want to do this course?

COMMENTS

 

 

MAY ALL BEINGS BE HAPPY!

  
retreat
puja
FPMT