Name:
Birth Date:
Email:
Address:
Passport #:
Phone:
Emergency Contact Name:
Emergency Contact Phone Number:
Please list the dates you wish to arrive and depart.
Who are you?
What do you like?
What do you dislike?
What are your strengths?
What are your weaknesses?
If you had all the money you would ever need or want, how would you spend it?
What do you hope to gain from your experience in Awakening Soul?
List any problems, addicitons, or behaviors you would like to change about yourself.
How do you believe you can change these things?
Describe your family situation, currently and during your childhood.
Describe your relationship with your father.
Describe your relationship with your mother.
What is love?
Describe God.
Describe your relationship with God.
Describe your history with God, religion, church, temple, or other organized spiritual practice.
Describe your personal spiritual practice, if any.
Describe any counseling you have had in your life, and tell why.
Describe your history and current situation regarding drugs and alcohol, including prescription drugs. List all drugs, including prescription that you currently use.
What music do you listen to?
Describe the messages in the music you listen to.
What movies do you like?
What do you like to read?
What foods do you eat and drink?
Describe your personal space. (Messy, neat, cluttered, minimalist, etc.)
How do you spend your time on Earth?
Describe your friends. (Habits, likes, how they spend time, use of substances, etc.)
Are you currently in a romantic relationship? If so please describe it.
Describe any hopes, dreams, or visions you have for your life.
List any goals you have for your life. (Any thing you would like to do, experience, or accomplish before you die.)
Do you wish to receive personal counsel for physical, emotional, or spiritual growth while at Awakening Soul? If so, which?
Tell which art forms you have experienced and list your skill level for each on a scale from 1 to 10, ten being mastery. If music, list instruments you play, and your skill level for each.
Tell which art forms you would like to experience.
Describe any experience you have working with children.
What do you feel comfortable teaching to children, youth, or adults? Please include everything you can think of, no matter how trivial it may seem.
Conventional Building/Carpentry Experience (1-10)
Natural Building Experience (1-10)
Electrical Experience (1-10)
Plumbing Experience (1-10)
Gardening Experience (1-10)
Farming Experience (1-10)
Other Labor Experience (1-10)
Teaching Children Experience (1-10)
Facilitating Classes/Workshops Experience (1-10)
Teaching Children Experience (1-10)
Physical/Healing Arts Experience (1-10)
Mental Emotional Healing Experience (1-10)
Carpentry/Conventional Construction Desire (1-10)
Natural Building Desire (1-10)
Electrical Desire (1-10)
Plumbing Desire (1-10)
Gardening Desire (1-10)
Farming Desire (1-10)
Other Labor Desire (1-10)
Teaching Children Desire (1-10)
Facilitating Classes/Workshops Desire (1-10)
Teaching Children Desire (1-10)
Physical/Healing Arts Desire (1-10)
Mental Emotional Healing Desire (1-10)
Child Care Desire (1-10)
The teaching philosophy at Awakening Soul is that we are all students. Staff members enjoy daily opportunities to learn from interns and children, as well as to share in the teaching process. At Awakening Soul, everyone is an intern and the lines between “student” and “teacher” are in many areas, purposely indistinct. 
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