Application form for Jeevan Vidya Workshop in English at Dharwad, Karnataka ( 27 April

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Application form for Jeevan Vidya Workshop in English at Dharwad, Karnataka ( 27 April - 4 May 2024)

Please note that the workshop is in the nature of an intensive immersive retreat that has to be attended in its entirety. It may not be attended partially. Participants are expected to arrive by the evening of 26th April, and may leave after lunch on the 4th of May, 2024.

Note that this particular iteration of the workshop will be conducted in English; participants are expected to be proficient in the language.
This form is an application for individual participation only.
(The workshop is for individual participation only. DO NOT plan/contrive to attend the workshop with your family / friends / spouse / partner etc.)
You should consider yourself duly registered only after you receive clear communication from us confirming your participation in the workshop.

Note that the number of applications we receive is much larger than the places available; so please fill in this form very carefully and in sufficient detail to improve your chances of acceptance.

Email *

Name *

Age *

Gender you identify with *

Male

Female

Other

Nationality *

Phone *

E-mail *

Address *

Education / Occupation / Work background *

Have you attended a Jeevan Vidya Workshop earlier? If yes, when and where? *

If you ever applied for this workshop earlier but could not be accommodated, please let us know when or for which workshop you had applied.

Please provide references of people (as many as you can) through whom you have learnt about this workshop. *

Reference 1: NAME OF PERSON, & YOUR CONNECTION TO THE PERSON and other relevant details

Please provide references of people through whom you have learnt about this workshop.

Reference 2: NAME OF PERSON, & YOUR CONNECTION TO THE PERSON and other relevant details

Please provide references of people through whom you have learnt about this workshop.

Reference 3: NAME OF PERSON, & YOUR CONNECTION TO THE PERSON and other relevant details

How do you think this workshop would be relevant to you? *

Anything else you would like to share, or tell us?

Your accommodation preference: *

I will be bringing my own tent to stay in. (We strongly recommend this option, especially if you own a tent or are able to procure one; this will offer you a safe and private sleeping space; we will have sufficient space and assistance available for rigging up tents.)

I will be happy with the dormitory accommodation and shared ashram-like facilities at the venue Suman Sangam.

I would like a separate suite with attached toilet, bath and kitchenette counter at the Naturopathy centre 0.5 km from the venue. I understand that I will have to bear the expenses for such accommodation (current tariff: upwards of Rs.1200 per day), and for any vehicle hired to take me to and from the workshop venue. I also understand that availability of such accommodation is likely to be very limited.

Read carefully and tick to acknowledge: *

I understand that this workshop is an intensive immersive retreat that has to be attended in its entirety. It may not be attended partially.

I have understood this

Required

Read carefully and tick to acknowledge: *

I understand that in view of the still fluid pandemic situation and the uncertainties surrounding any event, the organisers of this event will continually review and evaluate the appropriateness of holding this event, and the arrangements made for it, keeping in view the health and well-being of all.

I have understood this

Required

Read carefully and tick to acknowledge: *

I understand that this event is happening in the summer, which has set in earlier than usual this year in this part of the country. The weather during the workshop is likely to be generally hot during the day and though the organisers will make all possible arrangements for the comfort and wellbeing of the participants, the participants too are expected to come mentally prepared to experience some hot weather.

I have understood this

Required

Read carefully and tick to acknowledge: *

I understand that this form is only an APPLICATION for participation in the workshop. I can consider myself duly registered as a participant only upon receiving clear communication to that effect from the organisers.

I have understood this

Required

Send me a copy of my responses.

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