Application Form

*(denotes required field)

Name:*

E-Mail Address:*

Name you would like to be called (if different)

Address

phone numbers and best time to call you

gender:

female male

date of birth

Arrival/Departure (After two weeks we will check-in with you to ensure that you are happy with your stay and that all individual and community needs are being met.)

Questions

Thank you for your interest in Polestar’s apprenticeship program. This questionnaire is designed to help us get to know each other, and to let you know what to expect and what is expected of our participants.

1) Please share with us a little about yourself: your family and educational background, life experiences, jobs, talents, skills, and interests; whatever else you feel to share.

2) How did you hear about us?

3) What part(s) of Polestar’s vision do you feel most drawn to?

4) What would you like to gain from your time here?

5) What would you like to share with others in the community?

6) Do you have a spiritual practice? Have you had any experience with yoga and meditation; or with the teachings of Paramhansa Yogananda?

7) Yogananda’s ideal was a life of intense activity and deep meditation. In addition to the required work trade hours, we also ask that you participate in other ongoing community events including: Sadhana (spiritual practices) at least 3 or 4 times a week, normal house chores (including cooking, or helping cook once a week), occasional classes, work days, kirtans (group chanting) and adventures. Do you foresee any difficulty participating in this dynamic lifestyle?

8) Are you willing to commit to not using drugs or alcohol either on or off the property during your stay with Polestar?:

yes no

9) Do you have a residence to return to at the conclusion of your stay at Polestar? (If No, please explain)

Medical Questionnaire

1) Our work trade situation very often includes physical labor. Do you have any physical limitations or medical conditions we should be aware of?

2) Generally speaking, we are a lacto-vegetarian household. Do you have any special dietary needs or restrictions?

3) Do you smoke?:

yes no

4) Are you currently seeing, or have you seen in the last five years, a physician or therapist for any physical conditions or mental illness?

5) Are you now taking any medications? (If yes, please specify)

6) Have you ever had an alcohol or substance abuse problem? (If yes, please specify)

Emergency Contact Information:

Please include name, phone, email, address, and how this person is related to you.

Character References:

Please include at least 2 character references with contact information (at least Name, Phone, Work Title, and Relationship)

Which program are you applying for?

What is the date of the program you are applying for?

Do you have any allergies to any food or medication?