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PSI Volunteer Staff Application

Which class are you applying to staff?(Required)

PSI Basic Seminar

PSI-7 Life Success Course

PSI Leadership Seminar

PSI Youth Class

Select the Basic date and location you'd like to staff(Required)

What is the exact date/location you'd like to staff?(Required)

Select Your PSI City(Required)

Contact Information

Name(Required)

First Last

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Email(Required)

Enter Email Confirm Email

Mobile Phone(Required)

Best Way to Contact Me:

Email

Phone

Text

Other

Other Way to Contact Me

I consent to receive communications from PSI Seminars:(Required)

May include phone, email, or social media.

Yes

No

Gender(Required)

Date of Birth(Required)

Month

Day

Year

Preferred Gender Pronoun

He/Him/His

She/Her/Hers

They/Them/Theirs

Other

Where did you attend the Basic?(Required)

Date Attended Basic(Required)

Month

Day

Year

Are you a graduate of the Life Success Course (PSI-7)?(Required)

Yes

No

Date Attended PSI-7 Life Success Course

Month

Day

Year

Are you a graduate of the Leadership Seminar (MLS/WLS)?(Required)

Yes

No

Date Attended Leadership Seminar

Month

Day

Year

MLS/WLS Class Number

Have you attended Principia/Summit/Level Up/Next 10?(Required)

Yes

No

Date Attended Principia/Summit/Level Up/Next 10

Month

Day

Year

Have you completed Pacesetters Leadership Dynamics (PLD)?(Required)

Yes

No

Date Attended PLD - Pacesetters Leadership Dynamics

Month

Day

Year

What is your next step in PSI Seminars?

Have you staffed before?(Required)

Please check all classes you have staffed.

Not Yet!

PSI Basic Seminar

PSI-7 Life Success Course

PSI Leadership Seminar

PSI Youth Classes

When was the last time you staffed?

Which staff positions have you held before?

Why do you want to staff?(Required)

How have you been contributing to PSI Seminars activities in your city?(Required)

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Confidential Health Questionnaire

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Do you have any history of psychiatric disorder?(Required)

Yes

No

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Have you been institutionalized for mental illness within the last twelve months?(Required)

Yes

No

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Have you undergone treatment by a psychiatrist or psychologist in the last 6 months?(Required)

Yes

No

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Please explain any of the above marked "yes"(Required)

PSI Seminars are based on an educational model, not a medical model. If you have any history of psychiatric disorder, or have been institutionalized for mental illness within the last twelve months, or have been undergoing treatment by a psychiatrist or psychologist within the last six months, it is the policy of PSI Seminars that you do NOT attend or staff.

Volunteer Staff Agreements

Agreements(Required)

Staffing is a privilege, not a right.

Potential staff members must be willing to risk and stretch. Staffing can be a seminar in itself if you choose it to be. You have an opportunity to create a BENCHMARK for yourself.

I understand that once my application is accepted, I am committing to staffing the above class and if I am unable to I will replace myself. For Advanced Courses, changes must be made at least 30 days in advance as PSI Seminars guarantees the number of attendees, including staff, 30 days prior to the start of class.

I agree to:

• Be on time for all staff meetings and seminar events

• Dress professionally

• No solicitation of any kind (i.e. network marketing, business opportunities, or dating/sexual relationships)

• Communicate upsets with fellow staff members in a responsible and timely manner

I have read, understand, and agree.

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19(Required)

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact.

PSI WORLD, AND PSI SEMINARS, LLC strongly recommends vaccination prior to attending any seminars and/or indoor gathering.

PSI WORLD, AND PSI SEMINARS, LLC has put in place preventative measures to reduce the spread of COVID-19; however, PSI World and PSI Seminars cannot guarantee that you will not become infected with COVID-19. Further, attending our seminar could increase your risk of contracting COVID-19.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by attending a PSI Seminar’s event and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the seminar may result from the actions, omissions, or negligence of myself and others, including, but not limited to, PSI employees or staff, volunteers, and program participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my attendance at, or participation in PSI Seminars (‘Claims”). On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless PSI, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of PSI World or PSI Seminars, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any PSI Seminars program.

I have read, understand, and agree to the Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

Signature(Required)

I have answered all questions truthfully, and I have read, understand and agree to all policies and clauses contained within.

Comments

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PSI Volunteer Staff
Step into your greatest self as you support participants in their seminar experience.

Staffing can be a profound growth experience where you get to see behind the curtain.
Discover how to have a deeply fulfilling life by contributing and connecting with others in a deep and meaningful way.
Feel what it’s like to be seen and encouraged to be the highest version of YOU and learn the patterns of successful human inter-relations and communication.

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