Ahdama for Business Application
This application helps us get to know you, your professional life, and what you're hoping to gain from the experience. We review each application individually. Everything you share is treated confidentially.
About You
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Age
*
Marital status:
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Single
Married
Divorced
Something else
Where do you live? (City and Country)
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Have you attended an Ahdama retreat before?
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Yes
No
What did you receive from your Ahdama experience?
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Were you referred by someone? If not, how did you hear about Ahdama for Business?
Your Professional Background
Which best describes your primary professional role?
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Business owner/entrepreneur
Executive/senior leader
Professional (lawyer/accountant/physician/consultant)
Other
Business name
*
Industry
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Years in business
*
Number of employees
*
Short description of your responsibilities
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Company
*
Industry
*
Title
*
Years with company
*
Approximate number of direct and indirect reports
*
Career path
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Tell us a little about your professional work and career path.
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Occupation
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Industry
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Years of experience
*
What does your role entail?
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Your Relationship with Work
What aspects of your work bring you the greatest sense of satisfaction, purpose, or fulfillment?
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What aspects of your work create the most stress, frustration, or internal conflict for you?
*
If you could change one thing about your relationship with work, what would it be?
*
What would make Ahdama for Business a successful experience for you?
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The Group and Your Commitment
Ahdama for Business brings together men who may share personal experiences, professional challenges, business relationships, and sensitive information. You are expected to protect the identities, personal stories, business information, and disclosures of every other participant during and after the retreat and Zoom sessions, subject to legally required exceptions. Do you agree to maintain strict confidentiality?
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Yes, I agree
Are you willing to receive honest feedback, examine your own patterns and assumptions, and engage respectfully with perspectives different from your own?
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Yes
No
Ahdama for Business is a 12-week experience beginning with a four-day retreat, followed by eight live Zoom sessions. The experience depends on each participant's willingness to show up, engage honestly, respect confidentiality, and take responsibility for his participation. Your presence and commitment matter to the other men in the group. Are you willing to commit fully to the experience, including attending the retreat, participating in all eight Zoom sessions, and engaging in the work between sessions?
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Yes, I am fully committed
I am interested, but have concerns about my availability or ability to commit
No, I cannot make that commitment at this time
Please share the details of your concerns about your availability or ability to commit.
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What do you hope to contribute to the other men participating in Ahdama for Business?
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The Experience and Investment
Which Ahdama for Business experience are you applying for?
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March 11–14, 2027
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Which investment range feels most aligned for the Ahdama for Business experience, including the four-day retreat and eight follow-up Zoom sessions?
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$3,000–$5,000
$5,000–$8,000
I’m unsure and would need a conversation
Retreat Information
Do you have any medical conditions (mental and/or physical) that we need to be aware of?
*
What is your relationship with substances? Do you have a history of substance abuse?
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Are you taking any prescription medications?
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Are you currently working with a coach or therapist?
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Yes
No
Do you have any food allergies or dietary restrictions? (All Food Is Kosher)
*
Shirt Size
*
Small
Medium
Large
XL
XXL
Is there anything else you would like us to know about you?
*
Submit
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