Program Application Form Program Application Form Apply for a position in an upcoming Vision Quest Ceremony or the year-long Training Program "*" indicates required fields For which program are you applying?*May 2022 Vision Quest AshevilleJune 2022 Road Ahead AshevilleJune 2022 Men's Encampment UKJuly 2022 Grief Ritual AshevilleJuly 2022 Women's 5 Day RitualAugust 2022 Vision Quest AshevilleSeptember 2022 Women's Forest Prayer Fast AshevilleOctober 2022 Men's Encampment AshevilleYear Long TrainingName* First Last Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneDate of Birth* MM slash DD slash YYYY Gender Female Male Other Gender Identify Pronouns Occupation Terms & Conditions* I agree By submission of this form & payment of my deposit I acknowledge that I have read and accept the registration policy and financial agreement for this program. Please see website for details on program policy and Financial agreement for this specific program: www.RitesofPassageCouncil.orgWhy are you applying to this program?Please list any programs facilitated by Kedar or any other "Rites of Passage Council" guide that you have attended before.*Please list the soul-oriented / nature-based or initiatory work you've previously experienced, especially those programs, trainings, and undertakings that combine the two. Your prior experience might have been through wilderness programs, eco-therapy, depth psychology, vision fasts, indigenous training, other spiritual disciplines, or under the guidance of your own evolving conversation with the world.*What is it about this program that appeals to you: (Please tell us why you are longing for this adventure.)*What makes this the right time in your life to enroll in this program?*Please briefly note any hints you might have about your "soul work" or the gift that only you can offer the world. Please address both what you know about your preferred delivery systems (e.g., teaching, healing, managing, designing, writing, guiding, etc.) AND (more importantly) what you know about WHAT you are delivering (i.e., your soul images, symbols, story, motifs, qualities, truths, mysteries, archetypes, etc.) as you have discovered that through visions, numinous encounters, revelations, dreams, conversations with nature, etc.*PaymentPayment for 2022 Vision Quest $2485 Regular $2785 Late Registration $500 Deposit - Hold my place Payment for Year Long Training Program Option 1 Regular $5500 Option 2 Late $5800 Option 3 Monthly $500 Deposit + 16 Payments Option 5 Per Session $500 Deposit + 6 Payments See https://www.ritesofpassagecouncil.org/guide-training for detailed option descriptions