Photo by Brock Dolman

Earth Wisdom Immersion Application Form

Thank you for your interest in the Earth Wisdom Immersion. Please complete the following form in order to help us ensure this program is a fit for you. We welcome any inquiry beyond this application and will contact you if we have questions. We will keep all information strictly confidential.

This program is for those awakening from the predominant cultural story of separation who are, in their unique way, working towards a resilient, thriving Earth community for future generations. The program is designed for those who have the capacity to move fluidly between inner/personal and outer/collective experience rather than for those who may, at this moment, be primarily focused on their own personal/trauma healing. While it is not designed primarily to promote personal healing or resolve issues, healing, personal clarity and deep connection can be natural outcomes of the process. To help us ensure that the program aligns with you, and our, deepest intentions, we’ve developed an application process (button at bottom of page).

Note that you can not save this application, so be prepared to complete this form in its entirety before submission!

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

YYYY

Gender Pronouns

Occupation

How did you hear about the Earth Wisdom Immersion?

What calls you to this program at this time? What are your intentions for participating?

Describe your commitment toward making a contribution to the planet or others through your profession, volunteerism, activism or in other ways.

How do you feel this journey might support you in being more effective in your work and contribution to the world?

Have you participated in previous earth-based spirituality, indigenous wisdom, ceremony and/or awakening-focused programs in the past? If yes, please list.

People often confront emotional edges as a part of the unwinding of their personal and cultural conditioning. Please describe what you know about how you navigate your own edges and if there’s anything that would be helpful for us to know as guides during this program.

Are you presently undergoing treatment or taking any medications for emotional/psychological issues and/or working with current or past addictions or trauma? Do you have any medical or fitness concerns?

What, in your view, is the greatest challenge and/or opportunity we collectively face at this time? What gives you hope and inspiration?

Is there anything else you would like us to know?