Hridaya Yoga

Karma Yoga Program Application

Please return the completed applicationalong with a recent photo (max 100kb) to the Karma Yoga Coordinator at .

This is an application to volunteer in a community run on spiritual principles. Since volunteers are part of a residential group in close daily contact, for the health and safety of all current and future community members we request that applicants share more about their background and habits.All information you provide is held in the strictest confidence. Thank you for taking the time to complete this application in as much detail as possible.

Please note that the Hridaya Yoga Center is a non-smoking, drug-free facility. We regret that we cannot accept volunteers with alcohol issues or who currently smoke or use any form of recreational drug.

Please note that as Hridaya Yoga does not offer health insurance, we encourage you to purchaseprivate travel health insurance that will cover the length of your stay in Mazunte.

Please type your answers in a different colorso we can read your application more easily. Thank you!

1. Personal Information

First and Last Name:

Gender:

Address, City:

State/Province:

Zip Code:

Country:

Phone (Mobile):

Birthdate (DD/MM/YYYY):

Marital Status:

Email Address:

Emergency Contact:

- Name:

- Phone (include city and country codes):

- Relationship to you:

Current Occupation:

Languages Spoken:

Dates you are available to volunteer (minimum 3-month commitment):

2. How did you hear about Hridaya Yoga?

3. Interests, Aspiration, and Practice

  1. What is your motivation for volunteering in a spiritual community at this time?
  1. What attracts you specifically to Hridaya Yoga?
  1. Have you ever experienced community life before? Please give details.
  1. What does Karma Yoga (selfless service)mean to you?
  1. If you are already a yoga practitioner, which style/tradition do you practice and for how long have you practiced?
  1. If you are already a meditation practitioner, what kind of meditation do you practice and for how long have you practiced?
  1. Please describe any other spiritual practices that are important to you:

4. Education, Qualifications and Work Experience
  1. Starting from the most recent, please list your educational experience:
Institution / Dates Enrolled / Course of Study/Qualification Earned
  1. Starting from the most recent, please list your professional experience:
Organization / Job Title / Responsibilities / Dates Employed
  1. We often have positions available in our registration, accommodation, kitchen, information technology, marketing, graphic design,maintenance, and gardening departments. Do you have certain skills in these fields? Please describe your relevant experience and/or interests.
  2. Do you have computer experience? If so, please list the programs that you feel comfortable using on a daily basis.

5. Health and Lifestyle Information

At this time,Hridaya Yoga is not able to accommodate those coping with substance abuse issues, including withdrawal. Please do not apply for this program if you smoke, currently use other drugs, or if you have recently begun a recovery program. As stated before, all information given is treated as strictly confidential. Please answer “YES” or “NO” to the following questions.

  1. Are you currently taking medication for any physical or psychological condition?:
  2. Do you have a history of mental health issues or a current diagnosis?:
  3. Do you have any chronic physical limitations or disabilities?:
  4. Do you have a communicable disease?:
  5. Have you had a serious illness or major surgery within the last five years?:
  6. If you are a woman, are you currently pregnant or trying to become pregnant?:
  7. Have you used tobacco, recreational drugs, or illicit substances in the last 12 months?:
  8. Do you continue to use any of these substances?:
  9. Are you a frequent consumer of alcohol? If yes, please list the frequency of use:

If you answered “YES” to any question above, please substantiate your reply with a short explanation. In order to best support your experience in our community, we would appreciate it if you could provide information about any current psychological or physical difficulties, including diagnoses given, current medication, and whether your symptoms are currently stabilized. If there is anything else about your physical or psychological health that you feel might affect your participation in at the Hridaya Karma Yoga program, please explain:

  1. What is your primary diet? (vegan, vegetarian, unrestricted, other—if other, please explain):

6. References

Please provide the names of three references. Ideally, include at least one professional reference. References will be checked after the successful completion of a Skype interview.

Name / Relationship to You / Phone Number / Email Address

FULL DISCLOSURE

Before submitting an application, we require that you read the entireVolunteer for Hridaya: The Karma Yoga Programpage on our website, paying special attention to the Important Considerations. We also request that you review the blog post Karma Yoga: The Yoga of Action Done with Awareness, Detachment, and Love. Signing your initials below indicates that you have carefully read and contemplated their contents are inspired to serve in the spirit of the vision they set forth:

Important Considerations INITIAL HERE:

Karma Yoga Blog INITIAL HERE:

“By checking the signature box and typing my full name below, I attest that the information provided on this application form is true and complete to the best of my knowledge. False, incomplete, or misleading information is grounds for the rejection of this application or expulsion from the program."

By checking this box, I verify my understanding of and agreement with the statement above.

Full Name:

Date (mm/dd/yyyy):

Thank you for you being interested in supporting our community,
we look forward to hearing from you!

Please contact with any questions
and to submit your application. We will respond as soon as possible.

With Love, The Hridaya Yoga Team, Mazunte