Full Name
*
First Name
Last Name
Email Address
*
Phone Number
City and Country of Residence
Which sabbatical experience are you applying for?
Johannesburg Only (5 Days)
Johannesburg and Cape Town (7 Days)
South Africa and Ghana Grand Experience (11 Days)
Why do you feel now is the right time for a sabbatical in the Motherland?
What are you personally hoping to receive, release, or rediscover during this experience?
How would you describe your current season of life in three words?
What drew you to Tierra Destiny or When Women Heal brand?
Have you ever traveled internationally before?
Yes
No
Not yet, but I'm ready
This experience includes both reflective moments and adventurous cultural excursions such as safari drives, museum visits, walking tours, and historic site visits. Are you comfortable participating in these types of activities?
Yes, I am comfortable with all of it
I prefer less walking or physical activity
I would need modifications or support
Please share anything you'd like us to be aware of regarding your mobility or physical limitations:
Do you have any dietary restrictions, allergies, or food preferences?
Are you an early riser or a late riser?
I enjoy early mornings and slow starts
I prefer later mornings and rest before activity
I am flexible
Are you comfortable with emotionally reflective moments, cultural conversations, and opportunities for deeper personal insight?
Yes, I welcome them
I’m open but nervous
I prefer to process privately
I am unsure
What values do you hold that you believe align with this sabbatical experience?
What does five star customer care mean to you in this season of your life?
How do you plan to protect the sacred nature of this space and honor the privacy, healing, and emotional journey of others if you are accepted?
Is there anything else you’d like Tierra or the When Women Heal team to know about you or your journey?
