Forms
For program details, please tell us a little about your interest in planning your sabbatical
*
Indicates required field
Name
*
First
Last
Phone Number
*
Email
*
Primary Area of Residence (City and State))
*
In your own words, please briefly state the reason/purpose for your sabbatical visit:
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Main Profession
*
Number of years at your current profession/location:
*
Estimated length of stay (7 – 90 days):
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Estimated
dates:
Month
*
January
February
March
April
May
June
July
August
September
October
November
December
Day
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
*
2024
2025
2026
2027
2028
2029
2030
Horizon Refuge Program of Interest:
*
General
Professional Growth/Respite
Grief/Recent Loss of a Loved One
Physical Recovery (i.e., surgery, long term treatment)
Register
View Property
Contact:
Serena Isaak,
Project Coo
rdinator
[email protected]
OR ~
Nancy Altschuler, Founder
[email protected]