SANKALPA ENROLLMENT FORM (FOR ADULTS)

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Welcome to the Sankalpa Program Application! We're delighted that you're interested in joining our year-long journey of self-discovery, spiritual growth, and serving the enlightenment of humanity. To help us get to know you better and ensure a smooth application process, kindly provide the following details:

Full Name *

Date of Birth
*

YYYY

Gender

Nationality
*

Email Address
*

Phone Number
*

WhatsApp Number
*

Mailing Address
*

(including city, state/province, country, and postal code)

How many years / months you know and associated with the Ekam Movement
*

Mention the Ekam Events you have participated so far
*

Highest level of education completed
*

Name of school/institution
*

Field of study (if applicable)
*

Graduation year (if applicable)
*

Current or most recent employer
*

Job title
*

Duration of employment
*

Brief description of responsibilities
*

A personal statement explaining your motivation for joining the program
*

Areas of interest or expertise relevant to the program
*

Confirmation of availability for the full duration of the program
*

Any potential scheduling conflicts or commitments that may arise during the program
*

Name of emergency contact

Relationship to applicant
*

Emergency contact's phone number and email address
*

Dietary restrictions or allergies

Accessibility requirements
*

Any medical conditions or medications the program organizers should be aware of
*

Consent and Agreement:
*

Terms and conditions agreement
Consent for use of personal information for program-related purposes

We appreciate your time in providing this information. Your thoughtful responses will help us ensure a thorough and well-organized application process, allowing us to effectively evaluate potential participants for our year-long Sankalpa program.

I Agree

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