MA Center San Ramon Karma Yoga Application v.071521

All fields are required to submit - however, if a field is not applicable, please answer n/a if you do not have a response.

PHOTO: Please have a clear digital headshot photo of yourself ready to upload once you complete this application.

Personal Information:

Legal Name

First NameMiddle NameLast Name

Spiritual Name if any

Birthdate (mm-dd-yyyy)

Age

Gender

Phone Number

Format: (000) 000-0000.

E-mail

example@example.com

Permanent Address in US

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Current Address in US (if different from permanent address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

FOREIGN APPLICANTS

Nationality (as on your passport)

FOREIGN APPLICANTS

Country of Birth

How did you hear about our Karma Yoga Program?

Why would you like to join our program?

How long would you like to participate (min. 2 weeks, max 2 months)

What date is convenient for you to start?

A good portion of the seva projects involve long periods of outdoor physical work in either the orchard or our maintenance department. Are you able to work under these conditions?

Would you be able to participate in a responsible and energetic fashion?

What occupations have you had in the past? Please provide details and level of experience.

Please list and detail any special skills you have such as (for maintenance) carpentry, painting, cement work, tractor driving, fork lift or other heavy equipment operation (for Orchard) large scale irrigation systems, composting, harvesting, pruning etc...

Do you have any experience living in a community? If so, please tell us where, when, for how long, and provide details regarding your responsibilities and experience in the community.

Are you willing to share a small room with one or more people (same gender), and make an effort to get along in our community atmosphere?

Do you snore or are you sensitive to noise that might make it difficult to share a room with others?

Do you currently smoke?

Are you willing to commit to not using illegal drugs, marijuana, alcohol or tobacco both on and off site?

Are you willing to observe celibacy while on site?

Please list and describe any physical limitations or diagnosed medical conditions.

Please list any special dietary needs you have (all our meals are vegetarian. eggs are ok. no meat or fish).

Please list any housing needs.

Do you currently have health insurance?

Will you be bringing an automobile?

Do you have automobile insurance?

Have you met Amma?

If yes, please detail where and when.

Have you ever been on tour staff or volunteered during any of Amma's programs?

If yes to the above, please provide the following: what tours/dates, what departments/sevas did participate in, and the names of your supervisors:

Have you ever been to Amritapuri (Amma's Ashram in India?)

If yes, when have you visited?

While in Amritapuri, please note what sevas you participated in and who your supervisors were.

Have you attended or participated in any Satsangs (gatherings of Amma's devotees outside of Amma's Tour programs?)

If yes, please list which Satsangs (city/state/country)

Do you have any experience with meditation techniques?

If yes, please detail what techniques you learned and where/when.

Please provide three references of employers and/or your local Amma satsang, Amma tour department or Amritapuri seva coordinator where you have performed seva.

Please contact references to obtain their approval prior to listing them. Please do not list co-workers, friends or relatives:

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Relationship to you:

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Relationship to you

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Relationship to you

Please provide the names of two people to contact in case of emergency:

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Relationship to you

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Relationship to you

Please read and acknowledge each item below before signing:

Signature

Date

Photo

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MA Center will review applications without regard to race, color, gender, age, creed, sex, national origin, disability, citizenship, sexual orientation, or any other legally protected status.

Please email any questions to:

karmayoga-macsr@macenters.org

Thank you.

Om Amriteshwariyai Namah

MA Center San Ramon

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Emergency Contact 1

Emergency Contact 2