Vipassana

Application Form — Work Period

06 December, 2024 — 13 December, 2024 | Deganya Bet, Israel

Have you completed a 10-day course with S.N. Goenka or any of his assistant teachers? Select Yes if you are an old student in this tradition Yes
No

Select Gender Please select your gender Male
Female

Country or Region Please select country or region of residence

By checking the box below, I acknowledge and agree that any and all information provided in this application for acceptance into a Vipassana Meditation course, or otherwise provided by me to the Vipassana organizations, may be used by the Vipassana organizations for their purposes consistent with their Privacy Policies, as amended from time to time.

Click here to download a PDF copy of Dhamma.org Privacy Policy, Disclosures & Consents for non-Long Course applications.

Yes, I accept the terms of the Privacy Policy and the other terms of submission of this application form.

Click the "Next " and "Back" buttons at the bottom of each page to move from one page to the other. Click the "Cancel" button to cancel your application and return to the course schedule.