Application for Community Relations Coordinator Step 1 of 2 50% UntitledName* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country PhoneEmail Do you have a legal right to work in the United States?* Yes No What interests you about working at Vajrapani Institute? What are your hopes and expectations of this experience?*Do you have any experience living or working in a Buddhist center or other spiritual community?What is your experience with Buddhist practice or philosophy?*Do you have any experience living or working in a Buddhist center or other spiritual community? Please describe.*Describe your educational background, hobbies, interests and abilities, particularly as these relate to the work you would be doing at Vajrapani.*When is your earliest available work date?* Do you have your own vehicle?*Do you have any medical conditions that might limit your physical activity? If so, please describe.*Please Attach a Resume Here Reference 1Company/ OrganizationPositionStart Date End Date Name of SupervisorSupervisor PhoneSupervisor Email Reference TwoCompany/ OrganizationPositionStart Date End Date Name of SupervisorSupervisor PhoneSupervisor Email Reference ThreeCompany/ OrganizationPositionStart Date End Date Name of SupervisorSupervisor PhoneSupervisor Email I hereby certify that all statements and claims made on this and attached documents are true and correct and understand that any omissions or false information are grounds for immediate rejection of the application and or termination from employment. I also authorize Vajrapani Institute to contact the references listed above and obtain personal and historical information about me. Any future employment arrangement with Vajrapani Institute will be on an “at-will” basis. For any contrary representations to be binding, they must be given in writing.CaptchaNameThis field is for validation purposes and should be left unchanged.