Application Form 2025

PLEASE FILL OUT THIS FORM TO APPLY FOR Indian Fusion Formation at Shakti School of dance ~ Pushkar 2025

Indian Fusion Formation is a holistic dance training designed to both celebrate culture and explore the potential for thoughtful innovation. In this program we will both uphold tradition, and embrace the spirit of exploration in dance.

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If you do not receive a confirmation email from us within 7 days of completing of your application, it means we have not received it.
Acceptance to this program is based on prior experience in trainings at SSD or with Colleena, as well as your responses in this application form.
If English is not your first language, you may still apply. Responses should be in English.
Please include a recent photo of yourself. Photo should be clear and a close up of the face from shoulders up

TERMS AND CONDITIONS

Read and agree to our terms and conditions page before you fill out this application.

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First and Last Name

WHAT PROGRAM(S) ARE YOU APPLYING FOR

Indian Fusion Formation - Preliminary: April 9-12 Indian Fusion Formation - Level 1: April 13-19 Indian Fusion Formation - Level 2: April 23-28

Date of Birth

Nationality

Country of Residence

Passport Number

PORTRAIT PHOTO - Close up of face

Website and/or Social Media Profile

Occupation

PLEASE CHECK ANY OPTIONS BELOW REFLECTING YOUR EXPERIENCE

I have studied with Colleena Shakti in an ONLINE WORKSHOP I have studied with Colleena Shakti in a LIVE WORKSHOP (under 15 hours) I have studied with Colleena Shakti in a RETREAT (25 hours or more) I have studied in another discipline (i.e. martial arts, yoga, classical dance) for 25 hours or more I have studied at Shakti Summer School ~ Greece (25 hours or more) I have immersion experience in Indian spiritual culture (i.e. residence in ashram) None of the above

TRAINING: Have you had any formal dance education? Please describe and list teacher/institution.

HAVE YOU STUDIED BELLYDANCE PREVIOUSLY? If so, for how many years/months and from whom?

BELLY DANCE STYLE & PROFICIENCY: What style of Bellydance do you practice? Do you consider yourself a beginner, intermediate or advanced?

CURRENT PRACTICE: What styles of dance do you practice regularly? And for how many hours per day/week?

WHAT IS YOUR EXPERIENCE WITH YOGA (theory and practice)?

PLEASE EXPLAIN YOUR CURRENT/LONG TERM DANCE GOALS?

WHAT ATTRACTS YOU TO THIS PARTICULAR PROGRAM?

HOW DID YOU LEARN ABOUT OUR INDIAN FUSION FORMATION PROGRAM?

DO YOU HAVE ANY INJURIES THAT AFFECT YOUR CAPACITY TO TRAIN INTENSIVELY IN DANCE?

DO YOU HAVE ANY HEALTH CONDITIONS WE SHOULD BE AWARE OF? (Physical or Psychological)

Yes No

IF SO, LIST THEM HERE:

DESCRIBE ANY CHALLENGES YOU FORESEE IN THIS TRAINING AND HOW YOU INTEND TO OVERCOME THEM:

PLEASE DESCRIBE HOW YOUR ATTENDANCE IN THIS PROGRAM WILL ENHANCE THE LEARNING ENVIRONMENT:

ADDITIONAL COMMENTS FOR YOUR CONSIDERATION IN YOUR APPLICATION:

WHAT PAYMENT PLAN WILL YOU CHOOSE

Plan 1 (pay in full by January 1, 2025 and receive $100 off the total) Plan 2 (1st installment due Jan 1 / 2nd installment due one month before the course starts) I am an Indian national currently living and working in India and would like to interview for the scholarship program

SSD TERMS & CONDITIONS (please "sign" your name): The Shakti School of Dance /Shakti Summer School cancellation and refund policy is in place to guarantee the fair allocation of slots in the program to students who have been accepted and are ready to commit. Your registration payment to SSD/SSS is not refundable, returnable or transferable to a future workshop or to another person. No exceptions. Even in the case of medical or family emergencies, etc. Because there is an application and selection process, students can not ‘sell their spot’ in the program to another person. Please register with full awareness of the agreement you are entering into. Payment (via Paypal, Bank transfer or GPay), as well as this ‘Mandatory Waiver Form’ must be completed upon acceptance in the given time period to guarantee enrollment in the Intensive sessions. Health/Safety: Student agrees to inform SSD/SSS Administration of any health conditions or important medications they are taking. Student assumes full responsibility for her/his safety and all risks of participating in this training and while enrolled at SSD/SSS. We hold no responsibility for any such illness or injury that a student sustains while enrolled in the program. Students who cancel will not be eligible for refunds as per our official cancellation policy. *By completing your payment, you have agreed to our refund terms and conditions already.

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