Seva Study

* These fields are required

1 Welcome

2 Accommodations

4 Participant Information

All the information entered here will be kept private. Please fill out as much as you can. Required fields have a red *

Spiritual Name
Gender *	Male Female
Birth Date *
Birth Time
Birth Location
Marital Status
Languages Spoken

Continue

5 Arrival / Room Info.

Start Date *	We only accept new seva-studies on the 1st and 15th of every month. Your stay will be dependent on acceptance after our phone interview.
End Date *	Minimum stay is one month. Maximum is 3 months.
Room Option *	Normal pricing schedule is $900 for 1st month in Dorm OR $700 for 1st month in Tent

Continue

6 Contact Information

Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Emergency Contact Info - Name *
Emergency Contact - Address *
Emergency contact - Phone Number *
Emergency Contact - Secondary Number *
Emergency Contact - Email *
Emergency Contact - Relationship *

Continue

How did you hear about us? *
If Other, then please tell us how you heard about us *
Have you previously visited the Yoga Farm? *	If yes, please let us know when was the last time
Sivananda TTC Graduate? *	yes no
Yoga Experience *	Please describe your experience with yoga and meditation
Your Practice *	How regular is your yoga and meditation practice?
Occupation *	Please describe your work history
Education *	Please describe any formal or informal education experience.
Skills *	Any additional skills that you think would be useful such as cooking, carpentry, gardening, landscaping, etc?
Work independently? *	yes no Are you able to work independently and willing to do the duties assigned to you?
Willing to Learn? *	Yes No Are you ready to learn new skills and help in areas you are not familiar with?
Take directions? *	Yes No Are you able to take directions?
Open to new ideas? *	Yes No Are you willing to open yourself to new ideas and teachings?
Medical Issues *	Enter "none" if you have no issues
Prescribed Medications	enter "none" if you are not taking Drugs, alcohol, and cannabis abstention for one month prior to application required.
Substance abuse: *	Please describe your history of drug or alcohol use:
Criminal Record *	If you have a criminal record, please provide details
Mental illness: *	If you have ever suffered from any mental illness or been in a mental institution, please explain:
Understanding of Karma Yoga *	Please write a brief explanation of your understanding of karma yoga and your reasons for wanting to come to the ashram, including what you hope to achieve during your stay:
Comments or Special Needs
Special Diet

1 Welcome

2 Accommodations

3 Additional Programs

Participants

4 Participant Information

5 Arrival / Room Info.

6 Contact Information

7 Additional Information

8 References

9 Agreements

Reference 1 *
Reference 2 *
Reference 3 *