Australia 2023 Week Long Advanced Retreat Volunteer Application

First Name*

Last Name*

Date of Birth*

Are you over 18 years old?*

Volunteers must be aged 18 or over at the time of the event.

Select or enter value

Address*

We do not share your information with anyone

City/State*

Country*

Zip Code*

Phone Number*

Please enter the FULL number with international dialling codes. We do not share your information with anyone

Email Address*

We do not share your information with anyone

Confirm Email Address*

We do not share your information with anyone

What is your Occupation?*

Have you viewed the Online Intensive & Progressive videos or have you attended a Live Progressive Workshop?*

Yes

No

Have you attended at least TWO Week Long Advanced Retreats?*

Please note, Volunteers MUST have attended TWO previous Week Long Advanced Retreats prior to volunteering.

No

Yes

Please list the last TWO Week Long Advanced Retreats, with the dates that you attended?*

Who was your Group Leader/Volunteer?*

Have you volunteered with Encephalon at a Week Long Advanced Retreat before?*

Yes

No

Can you commit to the following arrival and departure times?*

Must arrive by 2pm on Sunday, March 19, and stay until 6pm on Sunday, March 26.

Yes

No

What languages do you speak fluently (i.e. you can describe Dr Joe's teaching in this language). Reading and speaking English fluently is a pre-requisite*

Please list:

How comfortable are you with technology?*

During the event, we will regularly use Smartsheet, Telegram, and the Making Your Mind Matter app.

Very

Somewhat

Not at all

How often do you meditate?*

Select

Do you have any health issues that will not allow you to perform basic duties? Are you on any medication*

To include standing/walking for long periods of time.

Yes

No

If yes, please describe

Please summarize your special skills that will be useful as a volunteer, you may have acquired from employment, previous volunteer work, or through other activities*

Including hobbies, sports, etc.

Why are you interested in volunteering?*

Do you have any Medical Skills that you are willing to perform in case of an emergency during the event?*

Yes

No

If yes, please describe

Please include your Official Medical Title. i.e. Doctor, Nurse, CPR Certified, EMT, Paramedic, Military Training, etc.

Are you aware that volunteers receive a 40% discount off of the regular workshop price?*

Yes

No

Are you aware that volunteers are responsible for all lodging, travel, etc?*

Yes

No

Which areas are you interested in volunteering? You may select more than one area.*

Please note that there is no guarantee on which duties you will be assigned, you maybe assigned to multiple duties.

App & Info Support

Door Check

Greeting Delegates

Temperature Check

What is your T-Shirt size?*

Select

Please attach a RECENT photo of just yourself*

Drag and drop files here or

Emergency Contact Information

First and Last Name*

Address*

We do not share this information with anyone

Home/Mobile Phone Number*

We do not share this information with anyone

Email Address*

We do not share this information with anyone

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. Additionally, by submitting this application, I am agreeing to the terms.

Yes, I Agree*

Please check the box below if you agree to these terms

Signature*

Type your Full name

Today's Date*

Send me a copy of my responses