Before filling out this application, please ensure that you have read the prospectus of the online course of your interest and discuss with us any questions you have about it. Please provide the following information. Please fill in all the fields.


1. Initiated name (if uninitiated, prefix Bhakta or Bhaktin to your legal name here):

2. Initiating Spiritual Master:

3. Senior devotees you consider to be your instructing spiritual masters:

4. Legal name:

5. Nationality, gender and age:

6. Year of hari-nama initiation:

6a. If not initiated, how many rounds of the Hare Krishna Maha-mantra do you chant and which of the four regulative principles do you follow? Please provide details here:

7. Year of brahmana initiation:

8. Current address:

9. Phone number:

10. E-mail address [This should be the e-mail address that you intend to use for the online course.]:

12. Education (above elementary grades):

13. Since when have you been actively practicing Krsna consciousness?

14. Which ISKCON center or nama-hatta are you connected with?

15. Services you have rendered to ISKCON:

16. Which of the following books of His Divine Grace A.C. Bhaktivedanta Swami Prabhupada have you read, and how many times? This includes Cantos 10, 11 and 12 as completed by Srila Prabhupada’s disciples in accordance with his instructions that they be completed.

SB Canto 1SB Canto 2SB Canto 3SB Canto 4SB Canto 5SB Canto 6SB Canto 7SB Canto 8SB Canto 9SB Canto 10SB Canto 11SB Canto 12

(You can specify how many times you have read each book here)

17. If you have read any other books by Srila Prabhupada, enlist them here:

18. Enlist any of the biographies of Srila Prabhupada written by his disciples that you have read:

19. If you have taken up any systematic study programs on any of Srila Prabhupada’s books, provide details here:

20. Why are you interested in taking up this course?

Date of application:

Please type the letters you see in the box below: