Community Experience Week Application

Interested in seeing what we’re all about, and gaining skills and knowledge on how to grow your own community? Fill out some info and we will be in touch shortly!

Name

First Name

Last Name

Email

Phone

(###)

###

####

Which week are you interested in joining us?

May 11th - 17th 2025

July 6th - 12th 2025

September 29th - October 5th 2025

How did you hear about us?

What inspired you to apply?

What is your understanding of consent? Do you feel comfortable honoring other's boundaries and your own?

Have you read our community living agreements, and do you agree to follow them while you are a guest in our home?

To read, open this link - https://www.lostvalley.org/community-living-agreements

Yes

No

Tell us a bit more about what you hope to get out of this experience.

Do you have any dietary restrictions?

We will make sure every meal has gluten free and vegan options. Dinners will have meat options occasionally, breakfast and lunch will be meat free.

Do you consent to participating in our community dinner program during your stay?

Participants are required to assist with one 2 hour cook shift, and one 2 hour clean shift for the week.

Yes

No

Maybe

Do you have any other questions or concerns that you would like us to answer?