We would love to have you join us! Simply submit the form below and one of the coordinators will get in touch with you shortly. Note: to apply to serve, please use the volunteer form.

APPLICATION FORM

YOUR NAME

EMAIL ADDRESS

MOBILE

CURRENT CITY OF RESIDENCE

--Please Select-- This will be my first retreat. I have attended a previous retreat. RETREAT HISTORY

ABOUT YOU

As you look at your field of work today, what breaks your heart? What gives you hope?

Share a personal experiment/practice of "being the change" at work.

What has been your strongest experience of feeling compassion for others?

HOW DID HEAR ABOUT THIS?

ANYONE ATTENDING WITH YOU?

Personal Info, for Accommodation

Gender

--Please Select-- Male Female Other

Birthday

Briefly share about your personal/professional background, and what inspires you to join this collective inquiry.

SUBMIT APPLICATION FOR PANCHSHAKTI RETREAT

 

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