Application Form ReForest Haiti ~ Youth Leadership Training Program 2008 Sponsored by the Art of Living Foundation & International Association for Human Values Name____________________________________Dates that you are available for YLTP_______________ Address_____________________________________________ Your Phone______________________ City__________________________State____________Zip_____________Country_______________ Age___________Date of birth__________________________Email______________________________ Student or Occupation_____________________If student what school do you attend? ________________ If student what year of school are you in, if graduated, when and what degrees do you hold? ______________________________________________________________________________________ Field of study___________________________________________________________________________ What are your skills, or skill interests you would like to develop?_______________________________________________________________________________ ______________________________________________________________________________________ Do your parents support your interest in this program?__________________________________________ Have you done volunteer work before?_______________________________________________________ How did you find out about this program?_____________________________________________________ Briefly describe your mental and physical health history__________________________________________ _______________________________________________________________________________________ Are you currently under the care of a physician and/or therapist ?__________________________________ Please list any medications you are currently taking_____________________________________________ Emergency contact info___________________________________________________________________ Have you taken the Art of Living course? _______If so, which course and/or courses, where was it held, when did you take it, who was the teacher?____________________________________________________
From where are you traveling from to Haiti?____________________________ Page 2 Why would you like to participate in this program? How do you feel about living under conditions that might stretch your comfort zone? How do you think that it will benefit others in you taking this program? Describe how you have been influenced and /or inspired by someone and how it has impacted your life? Agreement: IMPORTANT: We will be arriving in Haiti on the same flights from the USA so before you purchase your ticket make sure your application is accepted and YOU are in communication with the YLTP coordinator so you know the travel requirements. I will not possess, nor take drugs, alcohol, or smoke tobacco or other substances, or engage in sexual activity while volunteering for YLTP 2008. All of the above is true to the best of my knowledge. Signature _____________________________________________Date_______________________ Note: This is an application form not an acceptance form. Signing does not obligate me to accept a volunteer position.

Application & Recommendations can be sent by email to Catrina Marie, YLTP Coordinator: Catrina.Marie@artofliving.org 978-500-4082
Or mailed to: YLTP Application c/o Catrina Marie 2000 Walnut Ave Apt #28, Boulder, CO, USA, 80302 Page 3 International Association for Human Values ReForest Haiti ~ Youth Leadership Training Program 2008 Letter of Recommendation (Two letters required, one from an Employer or Teacher and one from friend or family member) This is a letter of recommendation for___________________________________________________ My relation to the candidate is_____________________________________________ If accepted , this person will be training to do Community Development and Reforestation work in Haiti. Volunteers in good health who can adjust to new living conditions as well as offering enthusiastic and creative input will be most effective. No other prior skills are required except a strong interest and willingness to serve others. How much do you recommend this person for this program? ___Highly ___Moderately ___Not at all Please write your comments regarding this candidate’s ability to participate in this program: Signed______________________________Print Name__________________________Date_________ I can be reached at: (tel.)_________________________ (email)________________________________ Recommendations can be emailed to Catrina.Marie@artofliving.org Or mailed to YLTP Application c/o Catrina Marie 2000 Walnut Ave Apt #28, Boulder, CO, USA, 80302 Page 4 International Association for Human Values ReForest Haiti ~ Youth Leadership Training Program 2008 Letter of Recommendation (Two letters required, one from an Employer or Teacher and one from friend or family member) This is a letter of recommendation for___________________________________________________ My relation to the candidate is_____________________________________________ If accepted, this person will be training to do Community Development and Reforestation work in Haiti. Volunteers in good health who can adjust to new living conditions as well as offering enthusiastic and creative input will be most effective. No other prior skills are required except a strong interest and willingness to serve others. How much do you recommend this person for this program? ___Highly ___Moderately ___Not at all Please write your comments regarding this candidate’s ability to participate in this program: