<questions><question><fieldtype>SimpleInput</fieldtype><fieldname>institution-name</fieldname><fieldlabeltext><![CDATA[What is the name of your institution?]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired>required</fieldvalidationrequired><fieldvalidationmaxchars>[optional]</fieldvalidationmaxchars><fieldvalidationtype>[optional]</fieldvalidationtype><fielddataoptions><![CDATA[]]></fielddataoptions><fieldnavigationoptions></fieldnavigationoptions></question><question><fieldtype>SimpleInput</fieldtype><fieldname>applicant-name</fieldname><fieldlabeltext><![CDATA[What is your full name as the applicant?]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired>required</fieldvalidationrequired><fieldvalidationmaxchars>[optional]</fieldvalidationmaxchars><fieldvalidationtype>[optional]</fieldvalidationtype><fielddataoptions><![CDATA[]]></fielddataoptions><fieldnavigationoptions></fieldnavigationoptions></question><question><fieldtype>SimpleInput</fieldtype><fieldname>applicant-contact</fieldname><fieldlabeltext><![CDATA[What is your contact information? Email and phone number please.]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired>required</fieldvalidationrequired><fieldvalidationmaxchars>[optional]</fieldvalidationmaxchars><fieldvalidationtype>[optional]</fieldvalidationtype><fielddataoptions><![CDATA[]]></fielddataoptions><fieldnavigationoptions></fieldnavigationoptions></question><question><fieldtype>SimpleInput</fieldtype><fieldname>institution-website</fieldname><fieldlabeltext><![CDATA[Do you have a website? Please enter it here.]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired></fieldvalidationrequired><fieldvalidationmaxchars>[optional]</fieldvalidationmaxchars><fieldvalidationtype>[optional]</fieldvalidationtype><fielddataoptions><![CDATA[]]></fielddataoptions><fieldnavigationoptions></fieldnavigationoptions></question><question><fieldtype>SimpleInput</fieldtype><fieldname>institution-workshop-location</fieldname><fieldlabeltext><![CDATA[What is the address of your institution where you would like us to host a class or workshop?]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired></fieldvalidationrequired><fieldvalidationmaxchars>[optional]</fieldvalidationmaxchars><fieldvalidationtype>[optional]</fieldvalidationtype><fielddataoptions><![CDATA[]]></fielddataoptions><fieldnavigationoptions></fieldnavigationoptions></question><question><fieldtype>SimpleInput</fieldtype><fieldname>applicant-role</fieldname><fieldlabeltext><![CDATA[What is your role in your institution?]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired>required</fieldvalidationrequired><fieldvalidationmaxchars>[optional]</fieldvalidationmaxchars><fieldvalidationtype>[optional]</fieldvalidationtype><fielddataoptions><![CDATA[]]></fielddataoptions><fieldnavigationoptions></fieldnavigationoptions></question><question><fieldtype>DescriptiveInput</fieldtype><fieldname>about-institution</fieldname><fieldlabeltext><![CDATA[Please tell us about your institution. What do you do, who do you help, and why do you do it?]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired>required</fieldvalidationrequired><fieldvalidationmaxchars>[optional]</fieldvalidationmaxchars><fieldvalidationtype></fieldvalidationtype><fielddataoptions><![CDATA[]]></fielddataoptions><fieldnavigationoptions></fieldnavigationoptions></question><question><fieldtype>DescriptiveInput</fieldtype><fieldname>comments</fieldname><fieldlabeltext><![CDATA[Anything else you would like to add?]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired></fieldvalidationrequired><fieldvalidationmaxchars>[optional]</fieldvalidationmaxchars><fieldvalidationtype></fieldvalidationtype><fielddataoptions><![CDATA[]]></fielddataoptions><fieldnavigationoptions></fieldnavigationoptions></question></questions>
STARTING SECTION
Shaolin Luohan Temple Outreach Beneficiary Application Form
Please fill out this form to become a beneficiary of our program. You must be an institution that provides support and social services to the elderly, poor, or weak. We will review your application and get back to you within 48 hours.
What is the name of your institution?
*Required
What is your full name as the applicant?
*Required
What is your contact information? Email and phone number please.
*Required
Do you have a website? Please enter it here.
What is the address of your institution where you would like us to host a class or workshop?
What is your role in your institution?
*Required
Please tell us about your institution. What do you do, who do you help, and why do you do it?
*Required
Anything else you would like to add?
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