Save my progress and resume later | Resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Password must contain the following:

12 Characters
1 Uppercase letter
1 Lowercase letter
1 Number
1 Special character

Page 1 of 2

Fellowship Cohort

First Name

Email Address from SF

EXPRESSION OF INTEREST Form: 2026 Vitality Program

Thank you for your interest in participating in Pahara Institute at Lone Rock’s 2026 Vitality Program! We’re excited by your interest and encourage you to review the event webpage for additional details.

Registration will open in early April - please keep an eye on your inbox for next steps on how to register and secure your spot. Limited spots available on a first come first serve basis. We will also notify those who have been placed on the waitlist. We look forward to being in touch soon.

Program Dates:

Virtual Program Kick-off: Wed, June 24, 2026 (12-2pm ET // 9-11am PT)
Weekend Retreat 1: Fri, Aug 21 to Sun, Aug 23, 2026
Virtual Session 2: Wed, Sept 23, 2026 (12-2pm ET // 9-11am PT)
Weekend Retreat 2: Fri, Oct 16 to Sun Oct 18, 2026
Virtual Session 3: Wed, Nov 18, 2026 (12-2pm ET // 9-11am PT)

Program Cost & Payment:

Cost: $7,000, to be paid in installments
A deposit of $1,750, which goes towards the overall cost, will be due upon registration.

Additional payments of $1,750 each are due on June 30, 2026; September 30, 2026; and November 1, 2026

A fee of 3.5% for credit card transactions applies. No fee for checks or wire transfers.
Registration opens in April.
Find full payment policies here.

All weekends will take place at Lone Rock Retreat, Bailey CO.

Contact Information

Name

Email address

Have you completed your Pahara Fellowship experience?

Yes, I have completed my Pahara Fellowship experienceNo, but I will complete the Pahara Fellowship by the date of the eventNo, I have not yet begun or will not have completed the Pahara Fellowship by the date of the eventI am not a Pahara Fellow

This event is only open to Fellows who have completed their Fellowship experience by the date of the event. However, we want to gauge your interest regardless of eligibility to inform how we set up this programming going forward. Thank you in advance for completing the form.

Have you attended this event in previous years?

Yes, I have attended in previous years.

No, I have not attended in previous years.

A limited number of partial scholarships may be available on a first come, first served basis for Fellows who wish to participate but do not have access to professional development funds through their organization or personal resources. Do you wish to be considered for a partial scholarship?

YesNo

How much assistance would you like to request?

We appreciate any additional context you can provide that will help us make decisions on scholarship allotments. Please share below. (3-5 sentences)

Participant Information

Title

Organization

Please confirm your current professional focus in the education field. (View Pahara's Sector Descriptions here)

Please share more information about why you selected "Other".

If there is a secondary descriptor for your current professional focus in the education field, please confirm.

Please share more information about why you selected "Other".

Completed 2025 Network Survey?

If necessary, you can save the data on this form and return to complete it at a later date. Should you have any problems with or questions about this form, please contact data@pahara.org for assistance.

Thank you for your interest in this Pahara convening. At this time, Pahara convenings and retreats are open to Pahara Fellows only. You can find out more information about our Pahara Fellowship, including how to apply, on our website.

Website is linked to the Fellowship webpage: https://www.pahara.org/fellowship

Page 2

Demographic Information

Age (hidden/pre-filled)

Gender (hidden/pre-filled)

Gender Pronouns (hidden/pre-filled)

Sexual Orientation (hidden/pre-filled)

Political leaning (hidden/pre-filled)

Race/Ethnicity (hidden/pre-filled)

Sector Primary (hidden/pre-filled/not mapped)

Sector Secondary (hidden/pre-filled/not mapped)

What do you hope to gain from participating in this event at this time? (250 words or less)

How do you hope to contribute to this event? (250 words or less)

Is there anything else we should know about your participation or interest in this event? (optional)

Please contact data@pahara.org if you experience any difficulties with this form.

As a reminder, completion of the 2026 Network Survey which opens in mid-April will be a requirement prior to participation in this Powered by Pahara programming.

Save my progress and resume later | Resume a previously saved form

Contact Information