Odiyan Retreat Center · Admin - Volunteer Application

Contact Information

Name

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Prefix

First Name

Last Name

Suffix

Name you prefer to be called

Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Home Phone

Cell Phone

Email

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Verify Email

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Personal Information

Date of Birth

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(mm/dd/yyyy)

Place of Birth

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Sex

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Female

Male

Other

Dependent Information

Do you have any children or dependents

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Yes

No

Age and relationship of dependent #1

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Age and relationship of dependent #2 (if n/a leave blank)

Age and relationship of dependent #3 (if n/a leave blank)

Length of Commitment

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6 months

9 months

Current housing arangement

*

Emergency Contact Information

Emergency Contact Name

*

First Name

Last Name

Emergency Contact Address

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Emergency Contact Relationship to You

*

Relationship Status

*

How Did You Hear About Odiyan?

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Which Website?

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Which Keywords Did You Use?

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Education History

List Institutions, Dates Attended, Degrees, and Field of Study.

Employment History

List all employers, dates employed, position(s) held, and reason for leaving.

REFERENCES

Professional Reference #1

Professional Reference 1

First Name

Last Name

Length of Relationship

Contact Email

Verify Email

Other Contact Info

Professional Reference #2

First Name

Last Name

Length of Relationship

Contact Email

Verify Email

Other Contact Info

Reference #3

First Name

Last Name

Length of Relationship

Contact Email

Verify Email

Other Contact Info

Reference #4

First Name

Last Name

Length of Relationship

Contact Email

Verify Email

Other Contact Info

Application Questions

Why are you excited about volunteering at Odiyan? How do you see this experience fitting onto your life right now?

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How has your past work, schooling or general background prepared you for the challenging work and community life schedule?

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Please describe how your individual goals and interests fit in with what you know of our community.

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What role does work play in the overall scope of your life?

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How would you rate your work ethic on a scale of 1 to 10, with 10 being the hardest working?

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Work in our community is variable. Do you have skills in any particular areas? e.g.: construction, cooking, IT, fundraising, maintenance, graphic design, social media, sewing, office administration, painting or others?

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What are your hobbies or other interests? How do you spend your leisure time?

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Please describe any exposure you have had to Buddhism or any other spiritual traditions.

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Books, media, personal involvement

Do you have the moral support of your family and/or friends for this commitment? Have you discussed this program with them?

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Explain briefly

We all have strengths and weaknesses. What do you consider to be your weakness? What are your greatest strengths?

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Those willing to make a six month commitment to volunteer at Odiyan are asked to limit time away from the program and the Odiyan property. If you know in advance that you need to spend time, please let us know here.

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Dr Appointment, family event, etc...

Please describe your physical strength and abilities. Give height and weight.

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Do you have any chronic physical problems or health concerns? This could include chemical or environmental sensitivities, allergies, headaches, breathing sensitivities, shoulder, back or foot problems or pain, sensitive stomach, sleeping difficulties, etc

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Are you taking any prescription or over-the-counter medication?

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Please describe

Have you had any surgeries, major illnesses or injuries in the past?

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Please describe

Have you been under the care of a mental health professional or a therapist in the past or are you currently?

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Please describe

Have you ever been prescribed medications for any mental/emotional conditions? Please indicate duration, dates, reason, etc.

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Have you ever had difficulty with abuse of or addiction to nicotine, alcohol, drugs or over-the-counter medications?

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Please describe

Have you ever been convicted of a crime?

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Please describe

Have you ever filed for bankruptcy?

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Please give details

Do you own a vehicle? If so, what year, make and model(s)

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If you are from a foreign country, how long is your legal status in the U.S?

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Please check the boxes indicating that you agree with the following:

I understand that volunteering at Odiyan is to fully commit to the work schedule, as well as assisting with cleaning, cooking and maintaining the facilities.

I will be flexible about placement for work at Odiyan

I understand educational opportunities and meditation are optional activities.

I will assume full responsibility for my own safety and assume the risk of any activity in which I agree to participate.

If I drive my car, I will have car insurance for my vehicle.

I understand I will be asked to leave for smoking or the use of illegal drugs.

I agree to have a back-up plan and adequate funds to carry it out if my stay does not work out to our mutual satisfaction.

And That's It!

Please Note: All the information on this application is held in privacy and will not be shared with any other entities, groups, organizations, businesses or mailing lists.

Thank you for applying to volunteer at Odiyan!