Application Form Odissi Intensive Pushkar 2025 • Colleena Shakti

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2025 ODISSI APPLICATION

FOR SHAKTI SCHOOL OF DANCE SEASON IN PUSHKAR

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If you do not receive a confirmation email from us within 2 days of completing your application, it means we have not received it.
Acceptance to this program is based on your responses in this application form.
If English is not your first language, you may still apply. Responses should be in English.

First and Last Name

Date of Birth

Nationality

Country of Residence

PASSPORT NUMBER

CLOSE UP PORTRAIT PHOTO

PASSPORT PHOTO

OCCUPATION

WEBSITE and/or SOCIAL MEDIA PROFILE

HAVE YOU STUDIED ODISSI DANCE PREVIOUSLY?

YES NO

PLEASE CHECK ANY OPTIONS BELOW REFLECTING YOUR EXPERIENCE:

I have studied with Colleena Shakti in a WORKSHOP (under 15 hours) I have studied with Colleena Shakti in a RETREAT (25 hours or more) I have studied at Shakti School of Dance ~ Pushkar Odissi intensive (80 hours or more) I have studied in another discipline (i.e. martial arts, yoga, classical dance) for 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.

LEVEL: Please describe yourself as dancer:

Hobbyist Student Level Intermediate - Dedicate student Intermediate - Aspiring professional Professional - Performer / Teacher

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

ODISSI CHOREOGRAPHIES & LEVEL** - Please list the Odissi choreographies you have learned (if any). Please tell us the year you learned the item and who you learned from. Please tell us the lineage of your teacher or teachers. If you have not learned any items, please write "n/a" in the box below. (ITEM - YEAR - TEACHER)

WHAT IS YOUR EXPERIENCE WITH YOGA (THEORY AND PRACTICE)?

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

YES NO

DO YOU HAVE ANY HEALTH CONDITION WE SHOULD BE AWARE OF? (PHYSICAL OR PSYCHOLOGICAL)

WHAT ATTRACTS YOU TO THIS PARTICULAR INTENSIVE PROGRAM AT SHAKTI SCHOOL OF DANCE?

DESCRIBE THE 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.

PLEASE EXPLAIN YOUR UNDERSTANING OF THE PHRASE "CULTURAL SENSITIVITY"

HOW DID YOU HEAR ABOUT THIS PROGRAM?

WHICH 2024 ODISSI SESSIONS ARE YOU APPLYING FOR?

Session #1: February 3 - March 1 ~ Beginners and Continuing Choreography Session #2: March 10 - 29 ~ Temple Dance Festival March 30th Session #3: March 31 - April 5 ~ Intermediate / Advanced Workshop with Guest master teacher

WHAT DISCOUNTS WILL YOU ENGAGE?

10% Discount for all returning SSD alumni students 10% Discount if registering for more than 1 intensive session (Odissi of IFF)

PLEASE UPLOAD A RECOMMENDATION LETTER IF YOU ARE NEW TO ODISSI DANCE AND/OR NEW TO THIS SCHOOL

ADDITIONAL COMMENTS FOR YOUR CONSIDERATION IN YOUR APPLICATION:

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.

TODAY'S DATE:

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