April 2013
Seva Application
Thank you in advance for filling out this form truthfully and completely.
Name: Gender:
Address:
City: State/Province:
Zip/Postal Code: Country:
E-mail: ______
Phone Number: H ( ) W ( ) ______
Occupation(s): Birthday: (Month, Day, Year): / /
Citizenship/Current Status: Today’s Date:
Why do you want to participate in Seva at this time?
(Use a separate sheet of paper to answer this question. Your candid answer is our way of getting to know you and a way for you to clarify your intentions for applying.)
Priority will be given to applicants able to commit for Seva from either April 5th to April 14th or April 7th to April 16th, or longer.
Dates Applying For / Dates Available:
Do you have prior experience doing Seva at the International Art of Living Center during courses for 200+ people? Yes No
If Yes, please describe
Do you have prior experience doing Seva at other Art of Living events for 300+ people? Yes No
If Yes, please describe
Seva assignments are physically demanding. Most require lifting, bending, sitting or standing for long periods of time. As such, seva during big courses is not appropriate to all persons at all times.
Overall physical condition: (consider your stamina, strength, flexibility and mobility)
Excellent ______Good/Average______Improvement needed______
Physical limitations (please detail):
Are you currently taking any prescription medication for a physical or psychological condition?
If yes, please indicate medication, dosage, condition being treated and length of time in treatment.
Are you currently seeing a doctor or therapist?______If yes, pls. indicate condition and treatment.
Is your doctor/therapist aware you are attending this program?
Have you been injured or hospitalized within the last three years for medical or psychological care?
If yes, please list:
Are you in recovery for an addictive process for less than one year?_____ If yes, pls. specify:
Is there anything that might limit your participation in this program? (Ex: allergies, history of seizures, etc.)
If yes, please list:
Specific Skills
Please check all areas where you have experience. V = very, E = Some, W = Willing to try
KITCHEN
Cooking for Large Groups (100+ people)
Vegetable Preparation (100+ people)
Kitchen Clean-Up
HOUSEKEEPING
Cleaning
Laundry
MAINTENANCE
Electrical
Plumbing
Construction
Landscaping
Carpentry
OFFICE SKILLS
Customer Service
Email & Telephone Support
Data Entry (Excel, Other)
Word Processing (Microsoft Word, Other)
Transcription
Administration
Accounting
AUDIO / VIDEO
Professional Photography
Videography (Cameraman)
Video Editing
Sound Systems / Projector / TV / Cabling Setup
IT
Webcast Management
Audio / Video Codecs
Web development
Social Media (Facebook, Twitter)
Graphic Design
Computer Networking
TRANSLATION
English to French
French to English
English to Spanish
Spanish to English
Other Please Describe
YOGA
Are you a certified Sri Sri Yoga Instructor?
Do you have experience teaching Yoga?
If yes, how long have you been teaching?
TRANSPORTATION
Do you have a valid Canadian or International license?
Experience driving long hours
Experience driving at night
Experience driving vans
Knowledge of Mauricie Region in Quebec
OTHER
Sales
Security
Crowd Control
Childcare (3-14 year olds)
Interior Decoration
HEALTHCARE
Are you a Medical Doctor or Naturopath?
Are you a Nurse?
Are you First Aid Certified?
ANY OTHER SPECIFIC SKILLS, work experience, certifications, diplomas, or licenses you have:
Do you speak French? ______Beginner ______Intermediate ______Advanced ______
Do you speak any other languages? ______Beginner ______Intermediate ______Advanced ______
Please list all ART OF LIVING FOUNDATION courses you have completed, including your first Introductory course and all Advanced Courses:
Dates Location Length of Course Teacher(s)
______
Are you an Art of Living Foundation Teacher: Facilitator:
Your Signature: Date:
PLEASE NOTE: You will need to supply two letters of recommendation from AOL Teachers who have known you for at least six months.
Recommending Teacher's information:
Name: Email:
Home Phone:
Name: Email:
Home Phone:
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Return Completed Application, with photo and letters, to: Erica Pereira, Seva Program Coordinator, at . You will be contacted by phone for a brief interview after we receive your application. If you have any questions, please call (819) 532-3328.
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Office Use Only
Date Interviewed: ______Dates Accepted:
Confirmation Sent: ______Accepted: Signed Date ______
Comments:
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