Community Volunteer Program Application If you have questions regarding the application or the application process, please contact the Volunteer Coordinator at volunteer@yogaville.org or by phone at (434) 969-3121 ext. 120 Prerequisites/CommitmentCompletion of a month-long residential program at the Ashram, such as the Living Yoga Training (LYT) Program or Integral Yoga Teacher Training. Please contact us with any questions.I completed at least one month at Satchidananda Ashram - Yogaville as a:*selectLiving Yoga Trainee (LYT)Yoga Teacher TraineeOtherIf Other, please provide details*Enter LYT Program Dates* LYT Program Supervisor's Name* I successfully completed the following Yoga Teacher Training Program(s) at Satchidananda Ashram - Yogaville:* Yoga Teacher Training Program Date(s)* Yoga Teacher Training Program Instructor(s)* Please briefly describe what you gained from your experience as a LYT*Please briefly describe what you gained from your experience in the Yoga Teacher Training Program*Participant Information* First Name Last Name Preferred or Spiritual Name* * Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Cell Phone*Email Address* Enter Email Confirm Email Why do you wish to serve in the Community Volunteer Program?*Please provide an overview of your history of service at the Ashram.*Education/Work ExperiencePlease describe your education, training, work, and related experience, including any degrees, diplomas, certificates, and/or areas of specialization.*Health RecordThe following information is requested in order to better serve you and the Yogaville staff.Do you have any physical or other limitations to your ability to serve?*If so, please describe.*Are you in recovery from a drug/alcohol addiction for less than 12 months?*selectNoYesIf yes, please explain*Legal InformationHave you been convicted of a felony or misdemeanor within the past 7 years?*selectNoYesIf yes, please give details below.*ReferencesReferences named below may be contacted.Senior Member of Satchidananda Ashram Reference* First Name Last Name Senior Member's Email* Second Integral Yoga Reference* First Name Last Name Integral Yoga Reference's Phone*Integral Yoga Reference's Email* Relationship to Integral Yoga Reference* Name BadgesAs part of our health protocols (read more), we're asking all volunteers, guests, program participants, etc. to wear name badges while at the Ashram. Please answer a few questions to help us prepare your badge.How would you like your name to appear on your badge?* What information about your pronouns would you like on your badge?*She/HerHe/HimThey/ThemOther pronouns (please provide below)Ask me my pronounsPrefer not to have any pronoun information listedPronouns* Community Volunteer Program AgreementService Please be punctual and ready for service at the beginning of a shift. If unforeseen circumstances arise and you’re unable to make it to a shift or find a replacement, please inform the Day Manager at extension 133 and the Volunteer Coordinator at extension 120. Schedule Request Forms are submitted to mailbox #33 in Sivananda Hall by Tuesday at noon of the week prior to the request. Weekly Sadhana As a program that offers the opportunity for full immersion into the yogic lifestyle, the Community Volunteer Program strongly encourages commitment to sadhana. Lifestyle Principles Community Volunteers agree to follow the Lifestyle Principles while on campus and while serving the Ashram. All community members are strongly encouraged to incorporate these Lifestyle Principles into their daily lives. Policies Community Volunteers agree to follow the Ashram Policies while on campus and while serving the Ashram. I certify that I have truthfully responded to all questions on this application. I further agree to assume full responsibility for any injuries or damages that might occur to my property or to me during my stay and/or service. Having read and understood all of the above information, I willingly agree to comply with all of the Community Volunteer requirements and policies. I understand that failure to do so may result in my being asked to leave the program.By typing my name I am signing this document and agreeing to the above statements. I also confirm and agree that this application submission does not infer automatic acceptance; I understand that the Volunteer Coordinator will consider my application and contact me with their decision.*
