Student Application Form
China Trip

Please be honest and concise so we can identify the best courses for you to join.

First name

Last name

Gender

Nationality

Address

Profession

Health History / Physical Condition

List current or past "mental health" or spiritual imbalances.

Study Goals

Do you have a foundation in the content of the course that you are applying for? What have you studied before?

Introduce yourself

Upload a current picture

Upload a picture of your passport

Which courses are you applying for?

What are you expectations of studying at the temple? What other inquiries do you have?

Special religious requests (ex. Ramadan, Shabbat, etc.)

Contact in case of emergency, name and phone number

What is your level of English?

I have read and I agree to follow all the temple's rules and regulations. https://fiveimmortals.com/temple-rules/