Gateway Program Application

Application for the Gateway Program

Please read the description of the Gateway Program carefully. Your application will be reviewed. We will contact you to set up an interview.

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
Cell Phone*
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 and/or Gochen Sang-ngag Rinpoche?*
If not who is your current teacher and are they aware that you are doing 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?*
What inspires you to do the Gateway Program?*
Please add any additional comments here.