| 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 | Nucharin Songsasen | ||||||
| Age | 56-65 | ||||||
| Email hidden; Javascript is required. | |||||||
| Address | 146 Marsden Heights Road Linden, Virginia 22642 United States Map It | ||||||
| Phone | 919-602-0676 | ||||||
| Best days to reach you for your interview |
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| Are you a member of the Integral Yoga Teachers Association | Yes | ||||||
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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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| 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). | ||||||
| Please upload 200 Hour Yoga Teacher Training Program Certificate to this Application | |||||||
| When and where did you receive your 200-hour level Basic Teacher Training? | January 2021 | ||||||
| Primary 200hr Instructor | Swami Arivananda | ||||||
| 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: | I have been practiced yoga since 2002. I started with going to a class weekly. Then about 10 years ago, I started practicing on my own (in addition to going to a class) at home at least 2 days per week. In 2018, I got 500 hr certification from Kaivalya Yoga TT (online course) and started practicing more regularly and teaching two classes a week (one a work and another one in my home studio, until the pandemic. Since I enrolled in BTT, I have kept daily sadhana which includes meditation, pranayama and hatha yoga. I am now teaching a class online and will start teaching an in person class again soon. | ||||||
| Do you meditate? | Yes | ||||||
| How long and how often do you meditate? | Daily. Morning 60 min and evening 30 min. | ||||||
| What other training experience have you had since 200hr teacher training? | I just complete Raja Yoga TT with Swami Karunananda. | ||||||
| What other styles/traditions of Yoga have you practiced/studied? | Vinyasa, aerial yoga | ||||||
| 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. | Before the pandemic, I taught a class at work. Most of my students are younger population with beginner to intermediate level. I also taught at my home studio; the students are older folks some of which have limited mobility. I have been teaching regularly since 2018. | ||||||
| Have you taken any Yoga therapy training programs? | No | ||||||
| Do you have any special interests or capabilities that may be relevant? | I am interested in spiritual studies and would like offer what I have learned to help others. | ||||||
| Please list any other training or experience that you think is relevant. | I took pranayama, meditation and raja yoga (online) workshops at Yogaville, in addition to the BTT and RYTT programs. | ||||||
| Please describe your studies and understanding of Ayurveda. | I have to say that I do not know much about Ayurveda. All I know is that it is the science of healing: keeping balance between body, mind and consciousness. I have signed up for the Basic Ayurveda course which will begin next week. I hope that I will have a better understanding of this ancient science at the end of the course. | ||||||
| Please describe your studies and understanding of yoga philosophy. | Since I completed Raja yoga TT, I have a better understanding about yoga philosophy than I was a year ago. I fully embrace the teaching of Sri Patanjali into my daily life (at least I am trying my very best). After all, the permanent peace and happiness are within us; we just have to turn inward to find them. 🙂 | ||||||
| What are your expectations as a student? What do you hope to gain, learn, or work on? | As a student, I expect to learn from esteem teachers and absorb information provided as much as I can. I hope to gain knowledge on how to apply yoga to alleviate physical, emotional or mental condition. Also, how to adapt asanas for those who have limited mobility. I also want to have tools that I can apply to my daily life. | ||||||
| Why do you want to enroll in Integral Yoga Therapy Certification (IYTh)? | Honestly, the inner voice inside my head (and heart) tells me that this is the path. I have found that integral yoga has helped me tremendously in maintaining my mental and emotional health. The benefits of Integral yoga is enormous and the more I study, the more I want to learn. I want to have more tools to offer to others who are suffering physically or emotionally. | ||||||
| How do you intend to use yoga therapy in your practice, both personally and professionally? | Personally, I would like to apply yoga therapy to navigate life and offer this gift to friends, family or colleagues who need it. | ||||||
| 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? | I plan to study in the evening and during weekend. This has been my approach for BTT and RYTT. I can attend in person courses, especially if it does not require me to take off work for more than 2 weeks. | ||||||
| List any interesting things you would like to share about yourself | I work in conservation biology field, especially studying canid (dog, wolves and foxes) biology and conservation. I love all outdoor activities (hiking, paddling, climbing, caving), but I will not do sky diving (since I am afraid of height) and playing in my garden. | ||||||
| Are there any current scheduling conflicts or anticipated events that could affect your ability to attend any of the scheduled modules? | No. I have signed up for both Ayurveda and Stress management TT | ||||||
| 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. | 1. Swami Arivananda, Director of Living Yoga Training and teacher, arivananda@yogaville.com | ||||||
| How did you find out about the Integral Yoga Therapy Certification Program? | Friend or Teacher | ||||||
| What print and/or online Yoga and wellness publications you read frequently and what social media you follow for Yoga information? | Yoga journal | ||||||
| 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 |


