| Are you a 200-hour certified yoga teacher? | Yes, I am a 200-hour certified yoga teacher | ||||||||||||||||||||||||
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| Prerequisites | |||||||||||||||||||||||||
| Have you been teaching Yoga for 1 year or more? (minimum 50 hours) | Yes, I have been teaching for one year (minimum 50 hours) | ||||||||||||||||||||||||
| HTML Block | *** Successful completion of a 200-hour Yoga teacher training from a Yoga Alliance approved school is required for participation in the Integral Yoga Therapy Program track to become a Certified Yoga Therapist. | ||||||||||||||||||||||||
| Home Center | Yogaville, VA | ||||||||||||||||||||||||
| HTML Block | A minimum of one year (minimum 50 hours) teaching Yoga is required for participation in the Integral Yoga Therapy Program track to become a Certified Yoga Therapist. | ||||||||||||||||||||||||
| Name | Andrea E Tickle | ||||||||||||||||||||||||
| Age | 36-45 | ||||||||||||||||||||||||
| Email hidden; Javascript is required. | |||||||||||||||||||||||||
| Address | 5246 Greystone Way BIRMINGHAM, AL 35242 United States Map It | ||||||||||||||||||||||||
| Phone | 2058559060 | ||||||||||||||||||||||||
| Best days to reach you for your interview |
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| Are you a member of the Integral Yoga Teachers Association | Yes | ||||||||||||||||||||||||
| Time of day? |
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| Health Information | |||||||||||||||||||||||||
| Do you want to achieve your RYT 500-hour designation during this program? | Yes | ||||||||||||||||||||||||
| Chronic Health issues? | No | ||||||||||||||||||||||||
| Prescription medications and/or natural remedies? | No | ||||||||||||||||||||||||
| Serious illness, injury, or major surgery in the last 5 years? | No | ||||||||||||||||||||||||
| Communicable Diseases? | No | ||||||||||||||||||||||||
| Current psychotherapy, counseling, or psychiatric treatment? | No | ||||||||||||||||||||||||
| Do you have any concerns about your physical or mental health that may impact your participation in this program? | No | ||||||||||||||||||||||||
| Will you require any special accommodations/needs during your participation in the Integral Yoga Therapy program? | No | ||||||||||||||||||||||||
| Any Dietary Restrictions/Choices (Allergies, Vegan, Gluten Free, etc.)? | No | ||||||||||||||||||||||||
| Education | |||||||||||||||||||||||||
| Highest level of education completed | Graduate | ||||||||||||||||||||||||
| Please list schools attended, year graduated, and degrees obtained: |
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| Other work outside of teaching Yoga | |||||||||||||||||||||||||
| Occupation |
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| Current occupation(s) and number of years worked - Please list |
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| Occupation |
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| Past occupation(s) and number of years worked - Please list |
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| Previous Yoga Experience | |||||||||||||||||||||||||
| Prior coursework/training | Successful completion of a 200-hour Yoga teacher training from a Yoga Alliance approved school plus a minimum of one year teaching Yoga is required for participation in the Integral Yoga Therapy Program track to become a Certified Yoga Therapist. If you are not a registered Yoga teacher, but are a licensed social worker or health care professional who would like to supplement your practice with Yoga therapy techniques, you are welcome to join the program, but will need to first complete a basic 200 hour teacher training to be eligible to receive certification from the International Association of Yoga Therapists (IAYT). | ||||||||||||||||||||||||
| When and where did you receive your 200-hour level Basic Teacher Training? | integral | ||||||||||||||||||||||||
| Primary 200hr Instructor | Michael Smith | ||||||||||||||||||||||||
| Have you had a personal practice for at least one year? | Yes | ||||||||||||||||||||||||
| How long have you practiced yoga? Describe your personal practice of yoga and how regularly you practice, including the style/tradition of your current practice: | 22 years, traditional sadhana, daily, eclectic and therapeutic | ||||||||||||||||||||||||
| Do you meditate? | Yes | ||||||||||||||||||||||||
| How long and how often do you meditate? | 15 mins daily, and throughout nursing | ||||||||||||||||||||||||
| What other training experience have you had since 200hr teacher training? | 2000+ Naropa | ||||||||||||||||||||||||
| What other styles/traditions of Yoga have you practiced/studied? | Shakta/mother traditions as taught at Naropa University, Childrens Yoga, Kundalini | ||||||||||||||||||||||||
| Is English your primary language? | Yes | ||||||||||||||||||||||||
| Essay Questions | Please answer the following open-ended questions fully and concisely. | ||||||||||||||||||||||||
| Please describe your past/current Yoga teaching experience including location, timeframe, population taught, etc. | I began teaching Yoga as Chair Yoga to the Senior population in Assisted Living, Memory Care, Independent living in 2003, and continued to teach individual yoga therapy and yoga sadhana development, as well as classes and workshops. | ||||||||||||||||||||||||
| Which yoga therapy training programs have you taken? | "Assisted Yoga/Thai Yoga Therapy" I attended certification and then co taught all five levels twice, and began teaching Prenatal Massage courses to specialize. | ||||||||||||||||||||||||
| Have you taken any Yoga therapy training programs? | Yes | ||||||||||||||||||||||||
| Do you have any special interests or capabilities that may be relevant? | subtle body anatomy, physiology, and bioenergy | ||||||||||||||||||||||||
| Please list any other training or experience that you think is relevant. | The Physical Therapy and Pilates courses inform my foundation in biomechanics, but my love of Children and Prenatal application shine through as well. | ||||||||||||||||||||||||
| Please describe your studies and understanding of Ayurveda. | The timeless life medicine and humoral philosophy promotes a global holistic perspective on ones true nature and life journey of naturally balancing the imbalances which may arise. | ||||||||||||||||||||||||
| Please describe your studies and understanding of yoga philosophy. | My training is rooted in authentic Shiva/Shakti tantric philosophy, and I have found that the sutras offer humankind insightful teachings which help us to apply the ancient yoga tradition to everyday modern life. | ||||||||||||||||||||||||
| What are your expectations as a student? What do you hope to gain, learn, or work on? | To gain a deeper understanding of yoga therapeutics as well as the credentials for practicing yoga therapy since it's what I have always done. | ||||||||||||||||||||||||
| Why do you want to enroll in Integral Yoga Therapy Certification (IYTh)? | yes, please | ||||||||||||||||||||||||
| How do you intend to use yoga therapy in your practice, both personally and professionally? | I intend to professionally specialize in yoga therapy since it has always been the core of my practice in chiropractic, physical therapy, massage, and Pilates. I am most interested in yoga therapy for prenatal, postnatal and pediatric purposes. | ||||||||||||||||||||||||
| Given your current or future commitments, how will you create the time and space to achieve your goals for the IYTh program and fulfill all of the training requirements? | As ab stay at home mom, I have just given birth to my third and final child, and once this program concludes I will return to the field. | ||||||||||||||||||||||||
| List any interesting things you would like to share about yourself | Naropa ambassador, Catholic, and consecrated to Mary, dedicated to St. Brigid, member of Bards, Ovates, and Druids | ||||||||||||||||||||||||
| Are there any current scheduling conflicts or anticipated events that could affect your ability to attend any of the scheduled modules? | flexible schedule with support in place for childcare | ||||||||||||||||||||||||
| Please list three references we can contact regarding your IYTh application. One of these references must be deeply steeped in the Integral Yoga Tradition. Please provide name, position, phone, and email address. | Cindi Irachi, Doctor of Chiropractic (770) 479-9784 Cherokee Wellness Center, 235 Waleska Rd, Canton, GA 30114 Jerry Hochman, Doctor of Chiropractic Life University (770) 565-1212 Jhochman@life.edu Abigail Dahl Gonsalves, Doctor of Chiropractic Palmer College of Chiropractic (517) 242-3544 abbydvmdc@yahoo.com | ||||||||||||||||||||||||
| How did you find out about the Integral Yoga Therapy Certification Program? | Integral Yoga Center | ||||||||||||||||||||||||
| Please provide specific website, studio, or individual names if you can, as well as any other specific information on how you heard about the program | I learned about this from training from beginner hatha certification and IYTA. | ||||||||||||||||||||||||
| What print and/or online Yoga and wellness publications you read frequently and what social media you follow for Yoga information? | n/a | ||||||||||||||||||||||||
| Agreement | By submitting this form, I hereby declare the above information is true and accurate to the best of my knowledge. I understand that misrepresentation of this information constitutes grounds for the rejection of this application, expulsion from the program and revocation of certification. In the event of rejection, expulsion, or revocation of certification, I understand that I am entitled to no refunds, credits, or adjustments.
I agree to assume all risk of damage or injury that may occur as a student of Integral Yoga Therapy Certification. In consideration of being accepted as a yoga therapy student, the undersigned releases and discharges Integral Yoga, its teachers, and students from any and all claims, demands, actions of any nature, whether present or future, anticipated or unanticipated, known or unknown, that result from the undersigned’s participation in yoga classes or practice of yoga outside of class. | ||||||||||||||||||||||||
| Signature | |||||||||||||||||||||||||
| IYTh Application Fee | IYTh Application Fee, Qty: 1, Price: $108.00 |
IYTh Applications (all)
