Application Form
For Guest at the Savanna Hermitage. Rather than try to portray yourself in the best light, please answer all questions as accurately as possible. For example, you will not be disqualified if you stream Netflix with a glass of wine. All applicants will receive a confirmation email and contact information.
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Email *
Name *
Age *
Current physical address- street, city, state *
Phone number *
Dates available and preferred length of stay *
How/where did you find out about the Savanna Hermitage? *
Please describe in detail your daily, weekly, and/or regular practice of meditation, yoga, qigong and/or other relevant consciousness practices. Also include relevant training and/or experience. *
Please describe in detail any interest and/or experience in eco housing, vegetable gardening, simple environmental living, vegan diet, and any other relevant information. *
Please describe in detail any interest and/or experience in hiking, wilderness, and nature. *
Please describe in detail any daily or regular physical exercise routine(s). *
Please describe in detail any physical and/or mental illnesses or disabilities, including anxiety and/or depression, and if you are currently taking any medication for any mental illness. *
Please describe in detail any arrest and/or criminal record. *
Rate yourself on an introvert/extrovert scale *
very introverted
very extroverted
Your diet *
Caffeine consumption *
Tobacco use, vaping, and/or other smoking *
Alcohol consumption *
Consumption of cannabis/marijuana and other recreational or illegal drugs *
Video time (TV, movies, streaming, youtube, etc) *
Social media time (Facebook, Instagram, Twitter, TikTok, etc.) *
How often do you read an entire book? *
A copy of your responses will be emailed to the address you provided.
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