| 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 | Siewli Stark | ||||||
| Age | 36-45 | ||||||
| Email hidden; Javascript is required. | |||||||
| Address | 210 Hawthorne Street, 1W BROOKLYN, NY 11225 United States Map It | ||||||
| Phone | 9176205547 | ||||||
| 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.)? | No | ||||||
| Education | |||||||
| Highest level of education completed | College | ||||||
| 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). | ||||||
| When and where did you receive your 200-hour level Basic Teacher Training? | Sept 2014-May 2015 at Exhale Spa | ||||||
| Primary 200hr Instructor | Stephanie Eris | ||||||
| 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 since 2004, but I became more serious around 2012 when I was looking for an alternative modality to cope with anxiety and depression. I practice slow flow yoga and therapeutic yoga at least 4-5 times a week. My practice currently is very much influenced by my Qigong practice. I don't currently follow a teacher, although I'm looking to find a teacher of yoga therapy that I resonate with. | ||||||
| Do you meditate? | Yes | ||||||
| How long and how often do you meditate? | 10 mins daily | ||||||
| What other training experience have you had since 200hr teacher training? | Anatomy Studies for Yoga Teachers, led by Jason Ray Brown. | ||||||
| What other styles/traditions of Yoga have you practiced/studied? | I've studied and practiced vinyasa, Yoga TuneUp corrective exercises and self-massage, restorative yoga, yin yoga. | ||||||
| Is English your primary language? | Yes | ||||||
| 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 |
IYTh Applications (all)
