Application Form
Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Where do you live?
*
City
Country
Email
*
example@example.com
Mobile Phone Number
*
Country Code
Phone Number
Height and Weight
*
Height (cm)
Weight (kg)
Type of stay?
*
Please Select
Work Exchange (20 Hours)
Work Exchange (10 Hours)
Rent
Preferred accommodation?
*
Please Select
Private Room
Shared Room
Tent
When do you wish to arrive?
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
How long do you wish to stay
*
Will you arrive with others?
*
Yes
No
Who will you arrive with, if any?
*
What interests you in visiting?
*
How do you think you will spend most of your time?
*
Do you have any physical, psychological or other health issues? If so what are they?
*
Please provide full url to any social media profiles (Facebook, Youtube, Instagram etc) or websites that you have?
*
How is your financial situation? How do you earn your living? What would you do if you run out of money while staying?
*
What particular skills, interests or fields of knowledge do you possess and enjoy sharing? What is your work experience?
*
Have you visited other intentional communities, retreats, wellness centers in the past? How was your experience there?
*
What is your police/criminal record? Any offences & convictions?
*
Do you consider yourself to be vegan (ethically and diet wise)? How long time have you been practicing veganism?
*
Do you consider yourself to be raw fruitarian (ethically and diet wise)? How long time have you been practicing raw fruitarianism?
*
What are your thoughts & experiences on raw fruitarian diets?
*
What are your thoughts & experiences on intermittent, water, dry fasting & juice feasting?
*
When was the last time you had cooked food?
*
When was the last time you had other raw vegan food than raw fruits?
*
What is your intended raw fruitarian diet
*
What are your thoughts on vaccines & pandemics? Are you vaccinated and the reason behind your choice?
*
What are you thoughts and experiences regarding mind altering psychoactive substances such as hallucinogenics, alcohol, tobacco, cannabis, coffee, cacao etc? Do you currently use such substances?
*
What would you recommend as sources for nutrition & health?
*
Are you familiar with Non Violent Communication?
*
Yes
No
Are you familiar with Natural Hygiene?
*
Yes
No
Are you familiar with Self Directed Education?
*
Yes
No
How did you find out about the community?
*
Please tell us about yourself?
*
Have you read our website thoroughly?
*
Yes
No
Do you agree with the community policy?
*
Yes
No
Submit
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