Please complete the application below.  You may type in your information and press the Submit Form button or you may print your completed application and mail it to Pine Mountain Buddhist Temple, 941 Lockwood Valley Road, Maricopa, CA 93252.  Upon receiving your application, one of the monks will contact you regarding the details of your training period at the temple.

Please Note: All of the following fields are required. If you get an error message after pressing the "submit" button, try clicking on the back button and check for any missed fields. Thank-you for your interest.

Please provide the following contact information:

Date:

Name:

Street Address:

City:

State:

Zip Code:

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Phone Number:

E-mail address:

Date of Birth:

Marital Status:

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How did you here about us:  

I would like to spend the following month (s) or dates as a resident lay trainee at Pine Mountain Buddhist Temple.

Please describe your previous experience with Buddhism and meditation.

Have you ever suffered from depression, or been diagnosed as having depression or another mental or psychological illness? If yes, please describe your condition and how it is being treated.

Do you have any physical limitations which would make it difficult for you to join in working meditation projects such as gardening, firewood stacking, cleaning, carpentry, etc.?

We keep to a simple (not vegan) vegetarian diet. Do you have food allergies which would require special consideration in what you eat?

Are you currently taking any prescription drugs or medication? If yes, describe.

Do you have any chronic illness or allergies?

Please describe your goals, hopes or wishes with respect to Buddhist practice, and in particular the time you would spend at Pine Mountain Temple.

Pine Mountain Temple operates on the basis of Dana, mutual giving and receiving, and thus we do not have set fees. However, in the case of long term lay residents, we suggest a minimum monthly donation of $500 to help us meet our daily operating costs. How much will you be able to afford as donation for your stay at the temple?