Residency Application

Name*

Email*

Primary Phone number*

Secondary Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Preferred method of contact*

Karmê Chöling Information

Have you ever been to Karmê Chöling?*

Yes
No

Please let us know when and for what you were previously at Karmê Chöling.*

When would you like to move to Karmê Chöling?*

How long would you plan to live at Karmê Chöling?*

(minimum stay for residency is 3 months)

Goals for Residency*

Please share your reason(s) for wanting to live at Karmê Chöling.

Your age

20 or younger
21-35
36-50
51-65
65+

What are your preferred pronouns?

What members of your household would be living with you?*

A partner/spouse
1 child
Multiple children
furry friend/pet (only possible in special circumstances)
N/A - Free agent/Only me

Your household*

List all members of your household who would be living with you at Karmê Chöling. Please include name, age (for children), and relationship.

Practice and Training Information

What was the last program you participated in on your Shambhala Path?*

When and where.

Do you have a meditation practice?*

Yes
No

Please describe your practice, how long you have been meditating and what your daily/weekly time of practice is.*

Have you completed any Shambhala Training Levels?*

Yes
No

Which is the last level that you completed?

Are you affiliated with a Shambhala Center?*

Yes
No

Which Shambhala Center are you affiliated with?*

Please describe your center activities or other dharma work, including if you are an MI, AD, SG or a member of the Kasung*

References

We require two references: 1- Meditation instructor (or teacher within Shambhala) 2- Personal reference (not a family member)

Meditation instructor or teacher within Shambhala

Name, phone, email, relationship to you

Personal reference (not a family member)

Name, phone, email, relationship to you

Housing Arrangements and Personal Information

Requested Housing Arrangement (1 person, per month)*

A Security Deposit is required. For a residency of greater than 6-months, the deposit is equivalent to one month’s stay; for a residency of less than 6-months, the deposit is equivalent to half a month’s stay.

Standard Room - $900
Premium Room - $1,100
Premier Room - $1,400

Food (per month and required)*

1 person - $300
Additional person - $300
Additional child (under 14) - $150

Additional Housing Requests (per month)

Additional Standard Room - $450
Additional Premium Room - $550
Additional Private or Semi-Private Office - $300-500
Shared/Floating Office Space - $100
Roommate - $100 (adult)
Child(ren) - free

Can you demonstrate a steady source of income or savings sufficient to cover the cost of your residency for at least 3 months?*

Yes
No

Are you employed?*

Will you be working remotely while you live here?*

Yes, for 100% of the time
No

Who is your employer?

What is your occupation?

Please share anything else you'd like us to know about yourself:

Background check*

I agree to a standard background check.

All residents will have a routine background check as part of Shambhala's Child Protection Policy. The results will only be seen by HR. If your application is approved, do you agree to having a routine background check as the last step before residency approval?

COVID Safety Agreement*

Please read online at https://www.karmecholing.org/wp-content/uploads/2020/06/COVID-Safety-Requirements-6-14-20.pdf

I have read and agree to this.

Code of Conduct and Community Agreements*

Please read online at https://www.karmecholing.org/care-and-conduct-policies

I have read and agree to this.

Do you have any chronic illnesses or health concerns?*

Yes
No

If yes, please describe:

What kind of diet do you have?*

Vegan
Vegetarian
Omnivore
Gluten-free
Other

Do you have any dietary concerns or special dietary needs?

Please include food allergies.

Do you have any mental or physical health concerns that you would like to share with us? How can Karmê Chöling support you in this regard? How are you supporting yourself?*

Thank You

Thank you for your time in completing this Residency Application. We look forward to speaking with you soon!

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