NEPAL
INSTITUTE
Leader Training
Program
A P P L I C A T IO N
Please provide the following (all
information confidential):
Full Name:________________________________________________________________
Address:__________________________________________________________________
Telephone: ( )____________,
E-mail:____________________ Male____ Female ____
Age (DOB):_____________ Sexual Persuasion: Heterosexual___ Bisexual___ Homosexual___
Height:______ Weight:______ (Send photo of face and full figure)
c 14 Day program c One month program
Do you have any handicaps or problems, physical or psychological:
No__ Yes (explain)
________________________________________________________________________
What is your highest formal education?________________________________________
Occupation:_______________________________________________________________
Talents:__________________________________________________________________
Interests:_________________________________________________________________
What other spiritual/new age training have you had? _____________________________
Relationship Status: Not married in relationship ___, Married___, Divorced___, Single___
Relationship Style: Open relationship___,
Monogamous___, Polyfidelous ___, Celibate ____
Do you have children in your custody: Yes___ No ___
Are you a vegetarian? Yes ___ No ___ Do you eat: fish? Yes ___ No ___
Eggs? Yes ___ No ___ Cheese/milk/butter? Yes___ No ___
Do you follow a special diet? No ___ Yes
(explain)________________________________
Do you drink: beer___, wine___, coffee___, tea___,
herb teas___, bottled water___
Hard alcohol (whiskey, gin, cognac, etc.) ___
Do you smoke: tobacco___, bidhis___, herbal cigarettes___,
cannabis___
Do you meditate? Yes___ No ___ What form?__________________________________
How often do you meditate:__________________________________________________
Do you enjoy sex? Explain.__________________________________________________
_________________________________________________________________________
What do you know of Tantra? (Be specific)______________________________________
_________________________________________________________________________
_________________________________________________________________________
Describe your sexuality: ____________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Describe love: ____________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Tell us of spirituality?_______________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Do you have a spiritual path? Explain:_________________________________________
_________________________________________________________________________
Who or what is God? Goddess? Divinity?
______________________________________
_________________________________________________________________________
Describe your orgasms?
____________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Do you consider yourself charismatic?
_________________________________________
Why do you want to take this training?:
________________________________________
_________________________________________________________________________
Is this a scholarship request? Yes ___ No ___
Enclosed is payment of $________ (50% deposit, balance 10 days before training starts)
Enclose this completed application with your payment, and send by regular mail
Make check payable to: Nepal Institute, PO Box 17397, Asheville, NC 28816, 828-254-6620
There is a 20% cancellation fee No refunds after training begins.
Swami Virato's Discourses | Tantra Message Board | Tantric Book Suggestions | Nepal Institute