Seva Application Form Use this form to apply for our One-Month-Minimum Intensive Seva Program. Full name *Referred by (name of the person that referred you to us, or, explain how you found us) *E-mail address *Cel phone number *I am available from:I am available until:If you are strong and willing to do seva now, please indicate if any of these conditions affect you from time to time:MigrainesHeadachesOther pain (specify below)Stomach acid, gastritis, acid refluxAllergiesAsthmaFatigue / low energyDepressionDiabetesDiminished libidoEpilepsy , convulsionesInsomniaIrritability: (whether or not it shows)NegativityObesitySadness (sin justificación)StressAnxietyOther (specify below)Other conditions:Why do you want to volunteer at Vida Lotus? (This is the most important question.)Please comment on your diet:Indicate your preference:I will bring a tent to participate in the program at no costI want to stay in a shared room, if available, and pay $ 150 at the beginning of the month (non-refundable)Submit application