Ananda Service Corps Application - Ananda Meditation Retreats

Application for Ananda Service Corps Program

Please complete this form. All applications are kept confidential. Once your application is received and reviewed, you will be contacted as soon as possible, as to your acceptance into the program. Have questions? Please don’t hesitate to contact us. Email: karmayoga@expandinglight.org Tel: (530) 478-7523

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PERSONAL INFORMATION

Name*

First Last

Email*

Enter Email Confirm Email

Phone Number*

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Birth*

MM slash DD slash YYYY

Marital Status*

Single

Married

Separated

Divorced

Widowed

Gender*

How did you first find out about this program?*

If “other”:

ANANDA SERVICE CORPS PROGRAM INFORMATION

What are your preferred dates for participating in this program?*

Have you ever participated in a program similar to the Ananda Service Corps Program before?*

Yes

If yes, please specify location and approximate dates*

Why would you like to be part of Ananda Service Corps Program?*

How are you involved with Ananda? Have you lived in an Ananda community? Are you a part of the Ananda Virtual Community or an Ananda meditation group, center or community?*

Are you a Kriyaban?*

Yes

How have you served with Ananda in the past?*

Please select your service areas of interest.*

Kitchen cooking – Help prep a meal or even cook a meal

Gardening/landscaping – Mowing lawns, weeding, planting, pruning

Carpentry – Various projects such as building steps, painting the dining room, etc.

Deep cleaning – Lahiri Mandir, Teaching Temple, kitchen, dining room, common bathrooms, etc.

Housekeeping – Getting guest facilities (i.e. Seva, Harmony and Serenity Houses) sparkling clean

Miscellaneous projects – Gravel paths, leaf blowing, various lightweight organizing, etc.

The Ananda Service Corps Program is a more flexible version of the Ananda Karma Yoga Ashram Program. You are welcome to attend daily karma yoga events and activities as your service schedule allows. Your experience on the spiritual path will be adding magnetism to the sister Ananda Karma Yoga Program. Are you willing to participate with a joyful and willing attitude during your stay with us ?*

Yes

Daily service might include dishwashing (with heavy pots and pans) and housekeeping (cleaning bathrooms, vacuuming, etc.) and gardening. Will you be able to handle this in a responsible and energetic fashion?*

Yes

HOUSING

Are you willing to share a small room with bunk beds with one other person (same gender) in our Karma Yoga housing? (Typically we cannot accomodate a private room)*

Yes

Are you comfortable with sleeping on the top bunk?*

Yes

Do you snore?*

Yes

Would you be interested in bringing your own tent to live in during your stay (applicable May through October)?*

Yes

Are you willing to commit to not using marijuana, recreational drugs, or alcohol either on or off the property while you are in the Karma Yoga Program?*

We have a zero tolerance policy on this topic.

Yes

TRANSPORTATION

Do you have your own transportation to the Expanding Light?*

Yes

If not, will you be taking public transportation?*

Yes

Please visit our website for more information about tranportation options: https://www.expandinglight.org/who/directions.php

DIET RESTRICTIONS

Do you have questions or concerns about your diet? Please elaborate in detail. Important Note: Our kitchen offers a varied selection of vegetarian cuisine daily; we can provide dairy-free and wheat-free alternatives, but we are unable to accommodate all special dietary requirements.*

MEDICAL INSURANCE

You must have Medical Insurance during your stay in the Ananda Spiritual Family Seva Program. Please provide your medical insurance information. If you do not currently have medical insurance we can refer you to a website to obtain travel insurance during your stay with us. Please bring your insurance card with you for your stay.

Name of Carrier*

Expiration date of policy*

MM slash DD slash YYYY

Policy number*

Deductible*

EL MEDICAL QUESTIONNAIRE

Please answer the following questions completely and truthfully, as your physical, mental and emotional health are important factors in determining how our programs can best work for you. Depending on your area of service, some activities are more strenuous than others. All responses are confidential. Have questions? Please don’t hesitate to contact us at karmayoga@expandinglight.org.

Please briefly describe your current overall health.*

Please check any of the following difficulties you have had and explain relevant specifics in the next question.*

Diabetes

Stroke

Seizures

Eye condition

Frequent diziness or falls

Osteopenia-Osteoporosis

Chronic Headaches

Asthma

Cancer

Anxiety

Depression

Trauma

Abuse

PTSD

Addiction

Substance Abuse

Insomnia

Overweight

Underweight

Chemical Sensitivities

Other

None of the above

Please explain the above health conditions you checked off in greater detail and with relevant dates.

Do you have other limitations or health concerns? If so, please explain.*

EMERGENCY CONTACT INFORMATION

In case of an emergency, whom can we contact?

Name*

First Last

Relationship*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

I hereby certify that the above information is correct to the best of my knowledge, and I will continue taking all medications as prescribed by my health care practitioners(s) while in Ananda Service Corps Program. (Please sign your name)*

During your participation in the program, we will be taking photos and videos for marketing purposes. Do we have permission to use any photos and videos of you?*

Yes

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Application for Ananda Service Corps Program

PERSONAL INFORMATION

ANANDA SERVICE CORPS PROGRAM INFORMATION

HOUSING

TRANSPORTATION

DIET RESTRICTIONS

MEDICAL INSURANCE

EL MEDICAL QUESTIONNAIRE

EMERGENCY CONTACT INFORMATION

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Guest Services