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APPLICATION FORM FOR THE PROGRAM

All programs on Overcoming Problems are run on a donational basis, as His Holiness the Dalai Lama requested of us in 1992 when the Institute was founded by His Eminence Khejok Tulku Rinpoche.

Program One starts in October and runs for 1.5 hours, with an optional 30-minute meditation afterwards. The program runs for 12 months. Retreats are part of the program.

New participants to Program One will be accepted for the first few weeks after Program One begins. After this it is too difficult for most people to catch up.

Please either fill out the form here and press ‘Submit application’ below it or download a PDF application and send it to Level 4, 12 Thomas Street, Chatswood 2067.

If you feel like
you're not good enough
to do the course,
please apply.

IMPORTANT: All questions must be answered completely for your application form to be submitted and to be considered for acceptance to the Overcoming Problems program. Please be as detailed as possible to avoid any delays in processing your application.

Your details
Please fill in the requested information.
Have you applied to this program before?    Yes    No
If so, when?
Name
Land line number
Mobile number
Email address
Suburb (where you live)
Occupation

Educational background (areas of study)
Please fill in the requested information.
Degree(s)
Diploma(s)
Certificate(s)
Post-graduate / Professional development
Are you currently studying?    Yes    No   If yes, what are you studying?

How did you find out about the program?
Please tick all that apply and fill in the requested information.
Internet (which Web site/search engine)
Friend referral (name)
Flyer (location)
Poster (location)
Newspaper (which one)
Other (please indicate)

Other questions

Please fill in the requested information.

Why did you decide to do the Program?

Do you have any illness or injury that restricts your mobility doing exercises and meditating?    Yes    No

If you answered yes, please specify (optional, please type ‘not answering’ if you prefer not to answer).

I understand that there are sexual harrassment and privacy policies in place at AITHP.    Yes    No

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