Universal Healing Institute and Retreat Caretaker Application

Instructions: Please be very truthful, candid and thorough. You can cut and paste these application questions 1 33 and answer them in detail as you feel necessary. Next attach a recent photo(s) of yourself including a head shot so we can begin to get to know you! Return this application as an attachment to yosiahyedidiah@yahoo.com. Thank you very much, we hope you will be able to come and stay with us. 1. Name: 2. Address: 3. Email address: 4. Phone Number: 5. Birth date/Age: 6. Why do you want this caretaker job? 7. How long are you interested in living here? 8. When would you be available to begin? 9. Interests/Hobbies: 10. Relationship Status (if a couple, each person completes a separate application): 11. Education: 12. Career Background: 13. Describe your Current Health Status including any Allergies, Diseases, conditions, etc. and provide a health history as you feel necessary: 14. Height and Weight: 15. Current Energy Level and Fitness Level (please describe current exercise): 16. Sorry no smokers, tobacco users, drinkers, or drug users. This Retreat and the principals it teaches and demonstrates, are based on a Spiritually and Physically Healthy lifestyle. Having done, even over done all of the above, Yosiah can personally attest to how Un-Healthy of lifestyle it is!!! If you are having issues with any of these substances, this is a great place to come and kick the habit and we would be glad

to help you. If this is the case, Please explain your current and past Habits and addictions including rough dates and a brief history i.e. Do you / did you, smoke? Drink? Use drugs? Pornography? How much? How often? Etc. 17. Do you have any criminal background? Again, please be open, honest, and truthful, trust us so we can trust you. We use a rule in this area based on a need to know basis. In other words you tell us what we need to know about you. Yosiah once again also has been there and done that! so he is more than willing to help you and trust you. You can be fully honest and it will not be held against you unless it is a current and unchanged condition in your life!! We believe in and adhere to the Hebrew understanding of repentance and change, where even a criminal can become new and escape their past. 18. Tolerance of heat and humidity? (please list where you have lived in such a climate without air conditioning): 19. Have you ever lived in a third world country? 20. Describe your experience with rustic, rugged living conditions (can include extended camping or backpacking trips). 21. Are you interested in Natural Health and Diet? Please describe. 22. Describe your typical diet including dates and a brief history of its evolution: 23. Personality description (please be as thorough as you feel necessary): 24. What personality types do you get along with best? 25. What personality types do you have most difficulty with? 26. How do you tend to behave during stressful periods? 27. Describe your personal style of working through conflicts with others. 28. Do you have any spiritual and or religious affiliation/inclination? 29. How much work in the gardens, orchard, general maintenance, and construction are you able and willing to do? 30. Do you have current financial means of support (savings, an existing Internet business, other business or income)? 31. Please describe your experience with gardening, permaculture or organic farming. 32. Do you have handyman/maintenance or building skills? 33. Do you have knowledge and experience of solar or other off grid energy?

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