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*

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?*

yesno

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

yesno

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?*

yesno

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

yesno

Do you currently smoke?*

yesno

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

yesno

Are you willing to observe celibacy while on site?*

yesno

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?*

yesno

Will you be bringing an automobile?*

yesno

Do you have automobile insurance?*

yesno

Have you met Amma?*

yesno

If yes, please detail where and when.*

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

yesno

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?)*

yesno

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?)*

yesno

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

Do you have any experience with meditation techniques?*

yesno

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.

Relationship to you:*

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Relationship to you*

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

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.

Relationship to you*

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Relationship to you *

Please read and acknowledge each item below before signing:*

1) I understand that completing and submitting this application to MA Center does not guarantee acceptance to the Karma Yoga Program2) I understand that should I be accepted to, and subsequently decide to leave the Karma Yoga Program, I may do so at any time for any reason. Similarly, MA Center reserves the right to remove a volunteer from participation in the program at any time for any reason.3) I understand that, as a condition of being accepted to the Karma Yoga program, I may be required to undergo and successfully pass a criminal background check and screening for drugs.4) I understand that the Karma Yoga Program requires 6 hours/day for 5 days each week (30 hours/week)5) I understand that the fee for the Karma Yoga program is $6/day6) I understand that due to the requirements and commitments of participating in the Karma Yoga Program, it is not feasible or practical to work or attend school (virtual or in person) while in the program.7) I understand that alcohol and drugs are not permitted on the Ashram property. While enrolled in the program, participants are expected to abstain from alcohol, marijuana, and illegal substance use both on and off the property. Participants are also expected to maintain celibacy while on the property.8) I hearby certify that the information I have provided in this application is correct to the best of my knowledge

Signature*

Date*

Photo*

Please attach a clear headshot photo below - or you can email separately to karmayoga-macsr@macenters.org

Please insert photo image here:

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