Be Here Now.- Ram DassThank you for your interest in our Yogi-in-Residence 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 * (###) ### #### 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? * Tell us about your teaching and practice experience with yoga, movement, healing, and mindfulness. Please include the names and dates of all certifications and licenses you hold. How long have you been teaching or practicing? What are your preferred methodologies for teaching? Be as specific as possible. Do you have any specialized offerings that would benefit our guests (i.e. kirtan leadership, myofascial release expertise, trauma-informed training, etc.?) Tell us anything we should know about your dietary restrictions or preferences. We will do our best to accommodate any requests made. * Please indicate the week-long retreats (Friday-Friday) you will be available for. The more weeks you make available, the more likely we are able to schedule a residency for you. * 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 our two free-range house dogs, Pamplemousse and Winnegance, and (3) will not be damaging to any property. Please bring any crate your dog is accustomed to and please keep your dog on a leash outside the property at all times. * Yes! No Do you carry insurance that permits you to practice and/or teach on third-party retreat premises? * Yes No Tell us anything else we should know. What brings you to Santosha now? We want to know all about you. Please e-mail team@santosha.org with headshots, practice photos, and videos of you doing what you do best. Check this box to confirm that you have sent that material separately. * Done! Please confirm that you are a non-smoker, that you can pass a criminal background check, and that you're vaccinated against COVID-19, including all available boosters. * Yes No Please provide three references, including telephone number and email for each person, who can attest to your teaching capacity, skills, and professionalism. * 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 at Hillholm Estate!