SCHOOL OF

APPLICATION FORM AND QUESTIONNAIRE PICTURE Please print, fill out and send by post to: Ananda Europa School of Raja Attention: Ahimsa Via Montecchio, 61 I-06025 Nocera Umbra (PG)

Informatione: [email protected]

Date: …… /…… /……

Name Surname

Sex M □ F □ Date of birth

Nationality E-mail

Address Postal Code

City/Prov/State Country

Home Teleph. Cell phone

Occupation Education

About your contact with Ananda: Which courses have you taken at an Ananda center? Please list the courses and at which center.

Are you registered in one of the other Schools in the Yogananda Academy? (Ananda Yoga o Life Therapy)

Are you a member of the Ananda Sangha Europa? (www.anandaeuropa.org)

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About your practice:

How long have you been practicing meditation?

How long do you practice each day?

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What method do you follow?

Have you received any initiations?

Have you been initiated into Discipleship on the path of Kriya Yoga, or into the Kriya Yoga technique? If so, from whom and when?

What books have you read on the subjects of and meditation? Autobiography of a Si □ No □ The Path Si □ No □ The Art and Science of Raja Yoga Si □ No □ Awaken to Superconsciousness Si □ No □ Others

About your health:

Briefly describe your general state of health.

Do you suffer from chronic diseases? (Headaches, migraine diabetes, ulcer, allergies) Si □ No □ Are you under treatment for physical or psychological conditions? Si □ No □ If yes, please briefly describe your condition.

Are you taking any medicines on a regular base or in this period? How often do you take them?

Do you have any physical conditions that we should know about; so that we can help you have a good experience during this course? (for example, difficulties in walking, special dietary requirements, etc.)

I declare that what I wrote is true to the best of my knowledge.

Signature: ______

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INFORMATION ACCORDING TO LAW 196/2003 ART. 13

According to Article 13 of Law 196/2003, we are required to inform you that:

1. Some of the information that we have requested falls into the category of “sensitive data”. Which includes information regarding: ethnic and racial origins; religious or philosophical beliefs; political opinions; affiliation to political parties, trade-union or religious, philosophical, political or trade-union organizations; personal data concerning health and sexual life. 2. This sensitive data will be used in accordance with the governmental guidelines (Autorizzazione generale del Garante n. 2/2004) for the purposes of participation in the social activities by Ananda Association, in accordance with its by-laws. 3. This data will be processed by hand and by computer. 4. This data will not be communicated to other parties, nor published. 5. We inform you that you are not obliged to give such information, but that refusing to do so could involve partial or total completion of the contract. 6. The entity requesting this information is: Associazione Ananda, Via Montecchio 61, 06025 Nocera Umbra (PG). 7. You can exercise your legal rights against the Association at any time, according to article 7 of Law 196/2003.

Formula for acquisition of consensus for the treatment of sensitive data.

Place ______Date ______Surname ______Name ______Having read the information provided by the Association according to article 13 of law 196/2003. And being aware in particular that some of the information requested is regarded as “sensitive” data in Article 4, paragraph 1(d). And Article 26 of Law 196/2003, i.e. “Information regarding: ethnic and racial origins; religious or philosophical beliefs; political opinions; affiliation to political parties, trade unions or religious, philosophical, political or trade-union organizations; personal data concerning health and sexual life”. I give my consent to use the data that are necessary for carrying the operations above indicate.

(legible) signature ______

REGISTRATION FEE TO THE YOGANANDA SCHOOL OF EUROPE I will pay my registration fee of 200€:

□ In person. When you visit us at Ananda, go to the Reception Office, where you can pay with cash, credit card.

□ By Bank Transfer. If you send a bank transfer from outside of Italy, give this information to your bank:

Account name Ananda Associazione, Via Montecchio 61, 06025 Nocera Umbra (PG) Italy Bank name Unicredit, Fil. Gualdo Tadino IBAN IT14U 02008 38473 000102090324 SWIFT/BIC UNCRITM1J21 Please, indicate on the draft: Ananda Raja registration fee (+ last and first name) According to Italian law, Ananda’s programs and hospitality can be offered only to “association members”. The annual membership fee includes personal accident insurance. 3

The Code of Ethics for Ananda Raja Yoga

The Code of Ethics for Ananda Raja Yoga teachers is bases on the following guidelines:

• Living daily the practices you teach. • Respecting God in each student, and maintaining a professional relationship with them. • Presenting the teachings with a dignity worthy of their high standards. • Teaching as Paramhansa Yogananda has instructed and as you have learned from the Ananda Yoga Academy. • When you have questions concerning the teachings, referring them to the Director or teaches of the Raja yoga Scholl, or the Spiritual Director of Ananda Sangha Institute of Self-realization.

As an Ananda Raja Yoga teacher or instructor, I recognize that it is my responsibility and privilege to support the physical, mental, and spiritual welfare of my students, and to uphold the dignity and integrity of the teachings of Self-realization. Therefore I agree to abide by the following ethical code:

Relationships with Students The Code of Ethics for Ananda Raja Yoga teachers is based on the following guidelines:

• Show only the highest regard for my students’ personal beliefs and values. • Offer my services of teaching meditation and Raja Yoga to all persons, regardless of sex, race, colour, ancestry, religious creed, national origin, physical disability, mental disability, medical conditions, age, marital status, sexual orientation, or political affiliation- to the extent I am competent to offer such services, based on my training an experience. • Avoid any action that I know will conflict with the highest interests of my students. • Avoid taking unfair advantage of students financially, sexually, romantically, or otherwise. • Refrain from initiating a romantic or sexual relationship with a current student, even if invited by the student.

Professional Conduct In conducting my teaching practice, I will:

• Offer only those services that I am competent to provide. • Not attempt to diagnose a student’s physical or psychological condition, prescribe a treatment, or suggest or approve of going against a physician’s advice. • Take continuing education in meditation on a regular basis. • Be honest, straightforward, fair, and conscientious in all business dealings. • Manage my business finances according to accepted business and accounting practice.

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Advertising In brochures, advertising, and other descriptions of my services (including verbal), I will:

• Make no exaggerated claims as to the benefits of meditation or my classes. • Represent my training, qualifications, abilities, and affiliations accurately and unambiguously.

• Not falsely imply sponsorship by, representation for, or endorsement by any organization (including Ananda)

I understand that any reports of my breaching this code will be fairly investigate by the Ananda Yoga Ethics Team, and that it could lead to revocation of my Ananda Yoga Teacher certification.

I have read and understood this code of ethics and hereby agree to honor its provisions:

Print name______

Signature______Date______

For issues concerning these ethical guidelines, contact Nayaswami Shivani, [email protected].

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