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Pendataan Member DCT
Pendataan Member DCT
Pendataan DCT
Name
*
First
Last
*
Last
Date of Birth
*
Gender:
*
Male
Female
Mobile Phone
*
Is your Whats App number the same as your mobile phone number?
*
Yes
No
Don’t have Whats App
Your Whats App number (if different):
Our WA Group Community will announce the service, opportunity to listen to Dhamma, and any other opportunity to perform wholesome deed. Would you like to be included in the community group?
Yes
No
Email
*
Address
*
Address
Address Line 1
Address Line 1
Address Line 2
Address Line 2
City
City
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Zip Code
Zip Code
Years of School
12 years or less
14 years
16 years
Other
Other
Occupation
Hobbies
How did you hear about DCT?
*
From Family/Friends
From Other Buddhist Organization
From Other Religious Organization
From Media Indonesia
From the Indonesia Consulate
From Social Media: please mention the platform
From Social Media: please mention the platform
Other
Other
Why do you come to DCT? (max 3 selection or other)
To listen to Dhamma
To do merit
I was asked to come
For the food
I try to attend major Buddhist holiday
To socialize with the Indonesian friends
To encourage my kid to attend the Dhamma School.
Other
Other
Since when did you join DCT?
*
I haven’t joined DCT
Since
Since
What activities would you like to see more in DCT? (Check all applies, can be more than one)
More Regular Service
Get together
Meditation Program, one day mindfulness or longer retreat
Social Program such as community outreach and any other wholesome activities.
More youth social programs such as sports-picnic-etc.
More youth Dhamma programs such as the Dhamma School-outings related to Dhamma.
Invite Bhante from Indonesia.
Other fill in the space
Other fill in the space
Check all related skills (can be more than one):
Information Technology: Software engineering-Mechanical engineering-etc.
Finance: Accounting and Excel.
Administration: construct letter-MS Word-email-etc.
Design Graphic: Website designer and maintenance.
Video editing-Photography-flyer designer.
Sound Systems: Audio and Video setting.
Interior designer.
Construction related: handyman-electrician-landscaping.
Marketing and public relations.
Logistic: transportation-shipping-travel services.
Communication/customer relations: help with phone call.
Healthcare specialist and dietician.
Culinary specialist: Cook-Bake-and food prep.
Update social media accounts: Facebook-Instagram-etc.
Other, fill in the space.
Other, fill in the space.
A range of programmes in our community need volunteer support. Please indicate how you can help.
Help with confirming volunteer availability and coordinating volunteers during regular services and or Buddhist Holidays.
Help with finding qualified Dhamma Preacher for the regular service.
Contribute to website contents.
Maintain DCT’s website.
Documenting DCT’s event.
Take video of Dhamma talk, edit, publish, and maintain DCT Dhamma Channel.
Help with temple’s cleaning.
Help with landscape maintenance.
Help with temple’s repairs and maintenance.
Help with Treasury function.
Help with constructing and typing letter.
Healthcare specialist and dietician.
Help with making digital flyer for DCT’s event.
Coordinate community outreach events.
Participate in DCT’s choir.
Help with providing food during service or major Buddhist Holidays.
I am willing to help with anything DCT needs help within my capacity Please inform me.
Other fill in the space.
Other fill in the space.
Available volunteer times. Any volunteering time will be upon confirmation of availability.
Monday-Friday daytime
Monday-Friday evenings
Weekends
Provide any additional information that may be useful in matching you with volunteer opportunities or any other feedback.
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Δ
8137 E 9th St, Rancho Cucamonga, USA
info@dhammacakratra.org
(818) 943 3327