| Are you a 200-hour certified yoga teacher? | Yes, I am a 200-hour certified yoga teacher | ||||
|---|---|---|---|---|---|
| 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 | New York IYI | ||||
| 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 | Adrian A Molina | ||||
| Age | 36-45 | ||||
| Email hidden; Javascript is required. | |||||
| Address | 700 Euclid Ave #114 Miami Beach, Florida 33139 United States Map It | ||||
| Phone | 646-919-0201 | ||||
| Best days to reach you for your interview |
| ||||
| Are you a member of the Integral Yoga Teachers Association | No | ||||
| Time of day? |
| ||||
| Health Information | |||||
| Do you want to achieve your RYT 500-hour designation during this program? | No | ||||
| 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 | High School/GED | ||||
| Other work outside of teaching Yoga | |||||
| Occupation |
| ||||
| Current occupation(s) and number of years worked - Please list |
| ||||
| Occupation |
| ||||
| Past occupation(s) and number of years worked - Please list |
| ||||
| 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? | Miami Yoga Shala 2005 | ||||
| Primary 200hr Instructor | Fred Busch | ||||
| 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: | since 2004.Ashtanga, Mysore, Kundalini, Power, Vinyasa, Yin, Restorative. Currently my practice is a combination of gentle yoga and meditation. | ||||
| Do you meditate? | Yes | ||||
| How long and how often do you meditate? | 10min every day | ||||
| What other training experience have you had since 200hr teacher training? | massage therapist. biomagnetism. Reiki master. End of life Doula. Mental Health First aid facilitator. Trauma Yoga informed TCTSY. | ||||
| What other styles/traditions of Yoga have you practiced/studied? | Ashtanga, Mysore, Kundalini, Power, Vinyasa, Yin, Restorative | ||||
| 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've been teaching full time for Equinox in NYC and Miami. Since Covid 19 I launched my own video company called Warrior Flow TV. I also teach for Insight Timer App. And have private clients. As a founder of The Warrior Flow Foundation I work with homeless, doctors, police, first responders and children and adults rescued from sex trafficking . | ||||
| Have you taken any Yoga therapy training programs? | No | ||||
| Do you have any special interests or capabilities that may be relevant? | trauma background from tctsy | ||||
| Please list any other training or experience that you think is relevant. | Working in jails. | ||||
| Please describe your studies and understanding of Ayurveda. | I haven't had much experience with Ayurveda. | ||||
| Please describe your studies and understanding of yoga philosophy. | a long time journey trying to embody the 8 limb path yamas, and niyamas. I am a firm believer in ahimsa. This is very relevant for our trauma programs and the way I move in the world. | ||||
| What are your expectations as a student? What do you hope to gain, learn, or work on? | Knowledge that can be shared and used in way that reduces pain in students. Physical and mental. | ||||
| Why do you want to enroll in Integral Yoga Therapy Certification (IYTh)? | Because I want to better serve the communities I work for. | ||||
| How do you intend to use yoga therapy in your practice, both personally and professionally? | Personally by becoming a better person, professionally by having a broader understanding of the importance of yoga. | ||||
| 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 had completed long courses online and my schedule is flexible so i can accomodate my schedule to my needs. | ||||
| List any interesting things you would like to share about yourself | I am very passionate about mental health education. | ||||
| Are there any current scheduling conflicts or anticipated events that could affect your ability to attend any of the scheduled modules? | no. | ||||
| 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. | Jivana Heyman | ||||
| How did you find out about the Integral Yoga Therapy Certification Program? | Friend or Teacher | ||||
| 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 | Jivana Heyman | ||||
| What print and/or online Yoga and wellness publications you read frequently and what social media you follow for Yoga information? | YogaUonline, yoga international, accessible yoga, yoga for everyone | ||||
| 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 |


