Jikoji Residency Questionnaire 

Please tell us about your interest in a study term at Jikoji as a student caretaker.

Email *
Date of this application: *
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First and Last Name *
Mobile Number *
Current Address *
Mailing Address 
Desired Start Date *
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Intended Duration *
Required
Automobile year, make, model, color, and license plate number with state indicated: 
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Emergency Contact: *
How did you learn about Jikoji?
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Tell us a little about your path:

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Have you completed at least one week-long Sesshin (silent meditation retreat)?  

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Are you currently working with a Zen or Buddhist Teacher?   If so, who? 
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Have you received the precepts in lay ordination?  If so, please share the Date of Jukai and teacher.
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Have you been ordained as a Priest? If so, please share the Date of Ordination and teacher
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Please tell us about why you would like to be at Jikoji:

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How do you envision your time at Jikoji?
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Can you be present for the following activities:
Weekday morning meditation( M-F)
Evening Meditation( M-Th)
Sunday Program
General work to maintain and improve Jikoji facilities and grounds.
Working with a Teacher,
4 Sesshins per year,
Spring Practice Period
Zazenkai (monthly full-day sits)

If not, what can you not regularly do
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Are you available to do work at least one 24 hr shift per week as a Jikoji Manager of the Day?
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How will you support yourself financially during your term of practice while living at Jikoji?: 
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How will you support yourself physically and emotionally while at Jikoji? 
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Are there any limitations or sensitivities which may impact your time at Jikoji?
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Any current medical or mental health issues we should know about? 
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Anything else that you would like us to know?
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