Shoshoni Yoga Lifestyle Immersion Application

What are the dates of the Yoga Lifestyle Immersion program you would like to attend?
Why are you interested in participating in Yoga Lifestyle Immersion at Shoshoni? Why do you think you'd be a good fit for this program?
Please describe your experience with meditation and yoga. What styles have you practiced? How often and for how long?
Do you have previous experience in volunteer work? Please describe.
What are your personal goals in participating in this program? What does living a "yogic lifestyle" mean to you?
We practice daily in a formal temple setting, surrounded by sacred art from Hinduism, Buddhism, and our lineage. Will you be comfortable in this type of setting?
Have you experienced any physical limitations or injury in the past five years? Are you currently taking medication? Do you have a diagnosed physical, emotional, or mental condition?

Emergency Contact

Please provide emergency contact information.
Emergency Contact

First NameLast Name
Emergency Contact Phone

Area CodePhone Number
Professional References

Please provide two references from a professional relationship (manager, supervisor, etc) that you have known for at least one year. If you are unable to provide a professional reference, your application will be disqualified.
Reference #1 Name

First NameLast Name
Reference #1 Relationship
Reference #1 email address:
Reference #2 Name

First NameLast Name
Reference #2 Relationship
Reference #2 email address:
Please provide a Professional Resume.
Attach a file of your Professional Resume.

Cancelof
Should be Empty:

Emergency Contact