Name
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First Name
Last Name
Age:
Gender
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Male
Female
Relationship Status
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Single
In a relationship
Married
Email Address
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Phone Number
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Emergency Contact Person Name and Phone Number
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Height:
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Weight:
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Please tell us in detail where you have spent time in the last 3 weeks. Be as specific as possible in regards to any travel you have done.
Who is the closest person to you who has COVID-19 symptoms or is a confirmed case?
For example: My boss, but I haven't been in contact with them for 3 weeks or there are three confirmed cases in my town.
What have you been doing to prevent your exposure to COVID-19?
Do you have any standing health issues that place you in the COVID-19 "high risk" category? If yes please explain in detail. Also add why even with this ailment you would still like to come to Sat Manav.
This includes, but is not limited to, respiratory issues, a heart condition, diabetes.
When would you like to come?
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Include: Date ranges, how long you would prefer to stay, and your first, second and third choices of time frames. Please give as detailed a time frame as possible. For instance: "Any weekend in June." is acceptable, but
just writing "June" is not enough information for us to go on, unless of course you can literally come ANYTIME in June. Thank you!
Your skill set?
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Please describe any special skills or experience you have in the context of service. Please exclude things like "body work", "Yoga teaching" and things of that nature as we do not enlist those types of services within our Seva Retreat program. Thank you.
For Seva (selfless service)...
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To help us create your Seva schedule please check all that apply. Depending on what is needed at the Ashram, seasons, etc. all of your preferences may not be able to be met, but we will do our best!
I would prefer to work in a group.
I do not mind working alone.
I prefer indoor work.
I enjoy working outside.
I do better with multiple smaller tasks.
I love a big project!
I enjoy mental work.
I am more at home doing physical work.
I have physical limitations. Light jobs only please.
I like to/can be moderately active.
I enjoy heavier work.
Anything we should know?
Is there anything we should know in creating your Seva task list?
What do you hope to get out of your time in our volunteer program?
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What obligations do you have during your stay?
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Please be VERY thorough. We need to know what financial commitments you have, familial obligations, or demands of any kind that will be put on you from anyone or anything outside the Ashram.
What is you current Yoga/Meditation/Spiritual practice experience?
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Please provide a brief, detailed description of any medical conditions you have; i.e., medications, injuries (past or present), nervous disorders, etc.
Personal History:
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Please let us know if you have had, or are having, any issues with mental health, substance abuse or criminal activity. We respect your privacy, but need to know as you will be completely welcomed into our community. Thank you.
Past experience:
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What is your understanding of Seva "Selfless Service"?
Please list any food allergies, dietary limitations or needs.
What financial contribution can you give?
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Our volunteer program is specifically geared towards people who see the personal benefits to contributing to our cause through service. As a nonprofit organization if you can pay our out of pocket cost of your stay ($500/month) then your service contributes much more to our goal of benefiting all beings! If you are unable to do this please explain below. It does not exclude you from this program but we need to factor it into to our decision of whether or not we can accept you at this time.
Time of arrival.
Please specify your time of arrival for meal planning. Thank you!
Morning before 11:00 am
Afternoon before 5:30 pm
Evening after 5:30 pm
Whatever is recommended
Acknowledgments
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I fully understand all of my needs (including but not limited to medical care, clothing, special food items, transportation), beyond standard room and board, are 100% my responsibility during my stay.
I agree to the Terms and Conditions and to follow the General Guidelines of Sat Manav Yoga Ashram.
I will not hold Sat Manav responsible in the event of any kind of injury or illness.
I understand Sat Manav reserves the right to have me leave at any time.
I understand that in the event I become ill during my stay I will have to leave immediately.
Cancellation and Refund Policy
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I understand and agree to the cancellation and refund policy: Sat Manav Yoga Ashram requires payment in full 1 month prior to your retreat date to confirm your registration. A full refund, minus a $30 processing fee, will only be given for cancellations made 3 weeks or more before the retreat. There will be no financial compensation for late arrival or early departure.