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Application to Become a Resident
Privacy Policy
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Personal Details
Full Name *
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Address *
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Date of Birth *
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Telephone *
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Email *
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Nationality *
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Passport/NI/Driving Licence Number - Please provide one only *
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More about you
Do you consider yourself to be a Buddhist?
Are you or have you previously been ordained?
Have you completed a working visit at Keajra Centre or any other Kadampa Centre?
If Yes please state where
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Do you now or have you in the past regularly attended a Kadampa Buddhist Centre? If yes please state which one (s)
If Yes please state which Centre you attended
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What is your Employment Status? *
If other please state
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How do you intend to support yourself financially? *
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All rents to keajra KBC are payable by standing order, please provide the name of your bank or building society *
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Do you Smoke? *
Do you have a criminal record (apart from minor traffic offences i.e. exceeding the speed limit/parking offences) *
If Yes please give details
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Do you suffer from any mental or physical illness? *
If Yes please give details
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Residency Details
Keajra Centre is run by it's residents, residents help by keeping the communal area's clean and tidy using a rota system, would you be willing to assist with this duty? *
Do you have any skills that you could offer?
If Yes please state what skills you could offer?
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As a resident you are elegible to attend free classes and required to attend at least one General Programme class once a week. Would you be happy to do this? (please see website for details) *
Please provide a contact of next of kin, in case of emergency *
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Full Name: *
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Relationship: *
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Address: *
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Telephone: *
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Email *
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References
Please give details of 2 people (not related to you). Please include name, address, phone and e-mail.
Please give details of 2 people (not related to you). Please include name, address, phone and e-mail.
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Referee 1: (must not be someone related to you)
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Full Name: *
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Relationship: *
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Address: *
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Telephone: *
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E-mail: *
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Referee 2: (must not be someone related to you)
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Full Name: *
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Relationship: *
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Address: *
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Telephone: *
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E-mail *
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Additional Information
Please add anything here that you would like us to take into consideration when considering your application.
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