|| Online Application Form ||
  Full Name
  Date of Birth    
  Gender
Current Address
  Zip/Postal Code (optional)
Country
  Phone / Mobile
  Email address
  Travel Time  Weeks :
In order to give us some idea who you are, please tell us briefly about yourself, your education, your interests and your background :  

 

What would you most like to gain from this experience ?
Why do you want to participate in the program ?

Have you ever been to a developing country?If yes,where and how long?

Do you have any allergies or medical problems we should know about? 
Are you on any medication?

How did you find out about this program ?

Please note your preference :

Nepali family stay Urban   Rural          
Interest in Learning Nepali Language and Culture More Less

Apprenticeship :

Thanka panting : Mithila panting :  
Wood carving, bronze casting,
stone carving : 		Teaching English at the school :
Pashmina weaving training : Meditation course :
Music (Nepali flute, Drum etc.) : Pottery(Mask making) :
Working with different organizations. : Visiting monastery, etc.:
Working with street children : Yoga :
Medicine learning course: Ayurvedic :
Tibetan :