APPLICATION FOR
RETREAT PROGRAMMES

Please read all the information on the retreat description page closely before completing the form below.

Please answer all the required questions so that we will have all the information we need to process your application.

Retreat name (with start date)

Please enter the retreat programme title and include the starting date of the retreat programme for which you wish to apply.

Your name

First Name

Last Name

Please type it carefully to be sure it's correct or we won't be able to reach you. IMPORTANT: When asked for your email address, do not give one that uses the Boxbe filtering service, as it is incompatible with our application system and thus you may not receive emails from us. We recommend you use an email address that does not use Boxbe.

Nationality

Age

Gender

female

male

other, or prefer not to say

Address

Your residential and legal address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your mobile phone number

Start with country code, e.g. +91 (if India)

Passport info (for those who are NOT citizens if India)

If you are NOT a citizen of India, please enter your passport number, country, date of expiry, and place of issue.

Emergency contact

Provide the best person to contact in case of emergency. Please enter the name, phone number, email address, and relationship (e.g. mother, husband, friend). If you'd rather give us this info when you arrive, thats OK too.

Why are you interested to join this retreat programme?

Please give a thoughtful and detailed response here. What attracts you to this retreat programme? What kind of experience are you hoping to have? What is it that you hope to learn and take away from it? (If an applicant's answer to this question is too brief, too generic, or too shallow, we can't evaluate the application and therefore the application would not be considered.)

Have you done any other programmes similar to this? If so, what and where?

Prior practice experience

Tell us about your prior experience, if any, with contemplative practice. For example, do you meditate or practice yoga? If so, how regularly, and for how long?

Practice guidance

Have you practiced meditation, yoga, or other contemplative practices under a teacher? If so, please give details so we can understand your practice background.

Do you have any injuries, medical conditions, or other health concerns?

For example: Are you taking any medications? (If so, what medications, and for what conditions?) Do you have any allergies or sensitivities? Any physical limitations such as difficulty sitting or walking, back pain etc.? If yes to any of the above, please give details.

Mental and emotional state

Please let us know if you have had any prolonged struggles with mental or emotional well-being. (Your response is for our retreat facilitators only, and will be kept confidential. Please answer honestly, as it is our responsibility to be aware.)

Medications

Are you currently taking any medications, or have you recently stopped taking any medications? If so, which medications, and for what purpose? (Your answer will remain confidential, but we do need to know in case of emergency.)

Dietary preferences and/or allergies

We serve only healthy, mostly-organic, plant-based (vegan vegetarian) cuisine. We also do our best to accommodate special needs, so if you are diabetic or have food allergies, gluten intolerance, etc., please leet us know so we can take care of you.

How did you come to know about Dharmalaya Institute? (Check all that apply)

A friend who has participated in Dharmalaya programme(s)

A friend who had heard or read about Dharmalaya

Search engine (Google, etc.)

Facebook

Instagram

Other

Name(s) of person(s) who told you about Dharmalaya Institute

If a friend/colleague/classmate/etc. told you about Dharmalaya Institute, what is that person's name?

Travel experience

Additional comments

Anything else you'd like to tell us?

Just one more step:

After you click the 'submit' button below, your application will be sent to us for review. Follow-up questions and/or an online interview are often part of the application process. After we have reviewed your application (normally within 1-2 weeks), we will send you an email that will notify you of your application status (e.g. pending interview, pending receipt of deposit payment, waiting list, etc.).

APPLICATION FORRETREAT PROGRAMMES

Please read all the information on the retreat description page closely before completing the form below.

Please answer all the required questions so that we will have all the information we need to process your application.

APPLICATION FOR
RETREAT PROGRAMMES