Application form for Jeevan Vidya Workshop in English at Dharwad, Karnataka (5-12 December, 2026)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

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 4th December, and may only leave after lunch on the 12th of December, 2026.

Note that this particular iteration of the workshop will be conducted in English; participants are expected to be proficient in the language.

(This workshop is for individual participation only. DO NOT plan/contrive to attend the workshop with your family / friends / spouse / partner / colleague etc.)

i.e. If you yourself are applying for participation in this iteration of the workshop, then please refrain from inviting / encouraging others to attend the workshop at the same time as you, or even sharing the workshop information with them.

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: FULL 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: FULL 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: FULL 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 post-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 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

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms