Name
*
First Name
Last Name
Email
*
Phone
(###)
###
####
Why are you drawn to The Align Residency? What are you hoping to gain from this experience?
What do you do for work, and will you be working remotely during the residency?
Which pillars resonate most with you?
Purposeful Productivity
Embodied Wellness
Transformational Living
Community & Connection
Do you have any experience with mindfulness, yoga, breathwork, or personal development practices? (Experience not required—we just want to know where you’re at.)
How do you like to contribute to community spaces? (e.g. sharing skills, listening, cooking, holding space, storytelling, etc.)
We aim to build a diverse and inclusive group. Is there anything about your background, identity, or life experience you'd like to share with us? (Optional, but appreciated.)
Are you currently navigating anything (emotionally, physically, or otherwise) that might affect your experience during the residency?
Anything else you’d like us to know?