Full Name
Email
Phone Number
Emergency Contact (please include name, phone number, and relationship)
Room Preference Solo Sanctuary (Single, sleeps one): $2,995
Shared Horizon (Double, sleeps two): $2,645
Triple Hearth (sleeps three): $2,455
Collective Grove - Dorm: $1,995
Dietary Needs: Please list any allergies or specific dietary requirements (Vegan, GF, etc.) for our organic kitchen.
Roommate Request: If you are coming with a friend or loved one, please provide their name here.
What is calling you to Ireland and to "chroí" (heart) at this specific time in your life? Have you been to Ireland before or this your first trip?
Describe your current relationship with technology and your nervous system. (Are you feeling burnt out, in transition, or seeking a deeper "rest-and-digest" state?)
The Offline Ceremony: When was the last time that you spent 72 hours with no technology (if ever)? Do you have any fears, concerns, anxieties, desires, longings, or hopes when imagining going offline in Ireland?
History: Do you have any history of significant trauma or medical/psychological conditions that may require specific support during a deep immersion? (This information is held in strict clinical confidence).
Wild Wonder: What is a question you are sitting with right now, in your relationship to creativity, nature, and/or technology?
What is one thing you are hoping to leave behind in West Clare, and one thing you are hoping to carry home with you?
Founding Cohort Acknowledgement: I acknowledge that I am applying to be a founding participant in the inaugural cohort of Listen, Mo Chroí. I understand that while the clinical curriculum is established, this is the first time this specific container is being held on this land. To honor this "first-to-land" cohort, tuition has been adjusted to reflect our shared journey of establishing the physical rhythms of the Common Knowledge Centre together. (Yes/No) Yes
No
Deposit Acknowledgement: I understand that a $500 non-refundable deposit is due upon acceptance of my application to secure my spot.
Final Payment Acknowledgement: I understand that full tuition is due by June 23, 2026.
Scholarship Interest: Would you like to be considered for a scholarship or a payment plan? (If yes, we will follow up with the separate Scholarship Application form). Yes
No
Submit Application
