Maharishi AyurVeda® Panchakarma Training Program

Please fill in and submit this form as an indication of your interest.

Gender: Male    Female

Would you be training to work at the MAIHC in Fairfield? Yes    No

If yes, would you like:
Part-time employment
Full-time employment

Would you be training to work in a Day Spa outside Fairfield? Yes    No

If yes, would you be working in:
a) Your own practice. Yes    No
b) In a Center not owned by you. Yes    No

If Yes to point b) please include the following:

Do you have training in Maharishi AyurVeda? Yes    No
If yes, please describe:

Are you a licensed massage therapist (LMT)? Yes    No
If yes, please describe date of certification and past experience:

Have you ever received Panchakarma treatments before? Yes    No
If yes, please describe and give location:

What weeks between January 1 and March 31 2022 would you be available to train?

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