Be Here Now.- Ram DassThank you for your interest in our Seva Program. Please use this opportunity to tell us a bit more about you—the more detail, the better. Name * First Name Last Name Email * Telephone * Country (###) ### #### Street Address * Town * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Not applcaple - Outside United States Zip Code * Province/Country (if outside United States) Tell us about your social media presence. What are your handles for FaceBook, Instagram, Twitter, TikTok, or otherwise? * As a participant in our Seva program, what skills would you bring to our community? Tell us anything we should know about your dietary restrictions or preferences. We will do our best to accommodate any requests made. * Any canine furry friends? Please remember that, while Santosha at Hillholm Estate happily welcomes your canine companion, it is your responsibility to ensure that your dog is comfortable in its environment and (1) will not be disruptive to other guests, (2) is comfortable around other dogs, including Pamplemousse and Winnegance, Santosha's house dogs, and (3) will not be damaging to any property. Please bring a crate for your dog in the event of emergency. Please keep your dog on a leash outside the property at all times. * Yes! No Tell us anything else we should know. What brings you to Santosha now? We want to know all about you. Please confirm that you are a non-smoker, that you are fully vaccinated against COVID-19, including all available boosters, and that you can pass a criminal background check (except for traffic violations.) * Yes No Please list three references, including email and phone number, for each person who can attest to your capacity to contribute to our community. * Thank you! We will respond with any questions that may follow from this submission. In the meantime, we look forward to your arrival at Santosha on the Kennebec!