| 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 | 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 | Laura Madelain | ||||
| Age | 26-35 | ||||
| Email hidden; Javascript is required. | |||||
| Address | 4319 Chase Avenue Los Angeles, CA 90066 United States Map It | ||||
| Phone | 9293631579 | ||||
| Best days to reach you for your interview |
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| Are you a member of the Integral Yoga Teachers Association | No | ||||
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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.)? | Yes | ||||
| Please describe | Vegan | ||||
| Education | |||||
| Highest level of education completed | High School/GED | ||||
| 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? | 2015 | ||||
| Primary 200hr Instructor | Ali Cramer | ||||
| 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've been practicing Yoga for more than 10 years. I started in Hong Kong where I did vinyasa and as I moved to the US 5 years ago I got my teacher training at Laughing Lotus and started teaching right away. I now teach full time and my personal practice is a mix of Vinyasa, Ashtanga and Katonah Yoga, that I studied closely with Nevine Michaan these past 2 years. I practice every morning upon waking up. I start with pranayama and meditation and then move on to my physical practice witch change everyday. | ||||
| Do you meditate? | Yes | ||||
| How long and how often do you meditate? | 5+ years | ||||
| What other styles/traditions of Yoga have you practiced/studied? | Laughing Lotus 200hrs | ||||
| Essay Questions | Please answer the following open-ended questions fully and concisely. | ||||
| Have you taken any Yoga therapy training programs? | Yes | ||||
| 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. | ||||
| IYTh Application Fee | IYTh Application Fee, Qty: 1, Price: $108.00 |


