Buddhist Studies Summer Program Application Buddhist Studies Summer Program Application The Buddhist Studies Program is open to students of all backgrounds and levels of experience. Space in the program is limited, so please apply soon to secure your spot. Once we have received your application we will be in touch to finalize your enrollment and arrange for the payment of course fees. Your place in the program will be secured once we receive a non-refundable $500 deposit. If you have any questions about the program or Gomde California, please contact us email@example.com Program SelectionPlease choose the program you wish to apply for. Note that academic credit is only available for students in the full-summer program. The application will only be accepted upon payment of a one-time, non-refundable $50.00 application fee. This fee will be deducted from your program tuition upon acceptance.Program Type*Full program (Sessions I and II) with academic creditFull program (Sessions I and II) without academic creditSession I onlySession II onlyAcademic Credit is only available for participants in the full program.Participant InfoName* First Last Email* Phone*Date of Birth*NationalityBuddhist Studies BackgroundThe Buddhist Studies Summer Program is open to people from all backgrounds and levels of experience. Please fill out the following questions to the best of your ability.What Buddhist traditions are you most familiar with?*Have you studied Buddhism in a traditional and/or academic context? Please describe.*Have you previously encountered the Tibetan Buddhist tradition or Tibetan teachers? In what context?*Do you practice or meditate regularly? In what tradition?*Are you comfortable living in a community centered around Buddhist principles?*Medical HistoryGomde is located in a remote part of Northern California where medical services, including pharmacies, are 30-60 minutes away. It is therefore important to tell us of any health and medical conditions that may affect your participation in the program, and any medicines you take regularly. This information will be kept completely confidential. Do you have any health or medical conditions, including mental health conditions, that may affect your participation in the program?*Do you have any allergies?*Do you regularly take any medications?Payment InformationApplication Fee: $0.00 Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsChadChileChinaColombiaComorosCosta RicaCroatiaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLesothoLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSouth AfricaSpainSri LankaSurinameSwazilandSwedenSwitzerlandTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Zambia Country Payment Information* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Terms and Conditions* I accept Gomde's terms and conditions BSSP Application: Price: $50.00 Quantity: PhoneThis field is for validation purposes and should be left unchanged.