Living Yoga Training Application – Online

Programs

Living Yoga Training Online Application

If you have any difficulty with this form you may download the pdf application, fill it out and mail it to the address indicated or fax it to (434) 969-1303. Please keep for your records and future reference.

Please note, use this chart of start dates for the Living Yoga Training Program in 2013 to select your arrival/departure dates.

Living Yoga Training (LYT) Application Form

This application is lengthy. Please review the entire form before beginning, gather all required information, and set aside at least one hour to complete the form.

Should you have problems with this form you may download, complete and fax or mail the PDF version. To download the PDF version of the form, please click here: Download the pdf Application

Should you have questions regarding the application or the application process, please contact Swami Priyaananda at lyts@yogaville.org or by phone at (434) 969-3121 ext. 117

Step 1 of 5 - Participant Information

Participant Information
Name*
FirstLast
Preferred or Spiritual Name (if different than your legal first name)
Date of Birth*
Gender*
Marital Status*
Address*
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Primary Phone*
Secondary Phone
Email*
First Visit to Satchidananda Ashram - Yogaville?*
Projected Arrival Date*
Projected Departure Date*
Please choose one:*
Expiration Date
Please provide a recent picture
What is your occupation?*
Why do you want to be a Living Yoga Trainee?*

Spiritual Background
What is your Integral Yoga Hatha level?*
What is your Meditation level?*
Have you previously practiced or had any exposure to the Integral Yoga teachings of Sri Swami Satchidananda?*
Are you associated with an Integral Yoga Institute?*
Which one and for how long?
Have you ever attended an Integral Yoga retreat?*
Please specify where and when:
Have you lived in any other spiritual community?*
Please specify where and when:
Please relate any relevant facts regarding your spiritual search and practices that may assist us in knowing you better:*
Experience
Please describe your education, training, work and related experience and list any diplomas, certificates or areas of specialization:*
Please list any special talents, skills or experience not mentioned above:*

Health Record
How would you describe your health?*
Do you have any chronic illness or physical problems (including back problems or snoring)?*
Have you ever abused alcohol or used non-prescription drugs?*
Within the past 6 months?
Are you taking any medications?*
Please list the drug names and conditions for which you are taking them.*
Do you have a physician?*
Physicians Name*
FirstLast
Physicians Phone Number*
Physicians Address*
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Have you ever been in counseling or therapy?*
Please tell us about it:*
Your counselors name:*
FirstLast
Your counselors address:*
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Your counselors phone number:*
Have you ever been hospitalized for mental illness?*
Please tell us about it:*

Emergency Contact Information
Name*
FirstLast
Address*
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Phone*
What is your relationship to this person?*
Legal Information
Have you ever been arrested? *
Have you ever been convicted of a felony or misdemeanor?*
Please tell us about it:*
References
References named below may be contacted.
Can a senior member of an Integral Yoga Institute or Satchidananda Ashram refer you?*
Member Name*
FirstLast
Member Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Member Phone*
Member Email
Recent Employer Name*
FirstLast
Recent Employer Address*
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Recent Employer Phone*
Recent Employer Email
Personal Reference 1 - Name*
FirstLast
Personal Reference 1 - Address*
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Personal Reference 1 - Phone*
Personal Reference 1 - Email
Relationship to Personal Reference 1 - *
Personal Reference 2 - Name*
FirstLast
Personal Reference 2 - Address*
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Personal Reference 2 - Phone*
Personal Reference 2 - Email*
Relationship to Personal Reference 2 - *

Statement of Purpose for Living Yoga Trainee
"Without inner commitment there can be no outer commitment" - Sri Swami Satchidananda

I desire to come to Satchidananda Ashram by my own free choice, wishing to realize the True Self and to lead a peaceful, useful life filled with physical, mental, and ethical perfection and the spirit of universal brotherhood. I realize that a disciplined body and mind and a life of dedication are necessary to attain this goal.

I seek to fulfill this goal with the help of the ashram environment. I affirm my intention to strive toward perfection in the precepts of Integral Yoga, such as truth, non-violence, spirit of dedication and universal brotherhood, and I will try my best to observe them. I realize that the Ashram rules, authorities, and policies exist solely to help me gain this self-mastery, and I hereby affirm my intention to follow them to the best of my ability, with the help of Sri Swami Satchidananda, his teachings and his sangha.
Required:*
- I understand and agree.
Agreement
I wish to learn the teachings of Sri Swami Satchidananda and the yogic way of life taught at Satchidananda Ashram. Therefore, I agree to follow the ashram policies. If I do not comply, I may be asked to leave. I certify that I am in good health and have no physical or mental illnesses or ailments, except as may be indicated on this application. I agree to assume full responsibility for any injuries or damages taht might occur to me or my property while at Satchidananda Ashram. If you should become ill or unable ot serve for more than 5 days while in the LYT Program, your participation in the program would terminate.
Signature - By typing your name you are signing this document and agreeing to the above statements. You also confirm and agree that this application submission does not infer automatic acceptance; you understand that we will consider your application, check references and contact you with our decision.*
Date
Payment Information
Application fee*
Price: $25.00
Total
$0.00
LYT Program Financial Arrangements
All LYTs enter the program under Arrangement 1 for the first month. Upon easeful completion of this first month, Arrangements 2 & 3 will be considered

Arrangement 1:
Standard - $400 Monthly Fee 24 Service Hours (six 3 1/2 hour service shifts, plus two 1 1/2 hour kitchen cleanups) Time Distribution: half time service & half time study/free time.

Arrangement 2:
3/4 time - $250 Monthly Fee 31 Service Hours (eight 3 1/2 hour service shifts, plus two 1 1/2 hour kitchen cleanups) Time Distribution: 3/4 time Service & 1/4 time study/free time.
* Only available to LYT’s who have successfully completed the 1st month and Integral Yoga Teachers trained at S.A.Y.V.A.

Arrangement 3:
Full Time Service replaces all fees 38 Service Hours (ten 31/2 hour service shifts, plus two 11/2 hour kitchen cleanups) Time Distribution: full service, with time off for sadhana & 1 free day.
**Arrangement 3 is only available to those who have the strength and vitality to comfortably serve this many hours while attending required sadhana.

Programs

If you have any difficulty with this form you may download the pdf application, fill it out and mail it to the address indicated or fax it to (434) 969-1303. Please keep for your records and future reference.

Living Yoga Training (LYT) Application Form

Step 1 of 5 - Participant Information

Participant Information

Spiritual Background

Experience

Health Record

Emergency Contact Information

Legal Information

References

Statement of Purpose for Living Yoga Trainee

Agreement

Payment Information

LYT Program Financial Arrangements

In this section: