| 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 | becca k schmidt | ||||||||||||||
| Age | 56-65 | ||||||||||||||
| Email hidden; Javascript is required. | |||||||||||||||
| Address | 4001 Anissa Avenue Apt, suite, floor, etc. Orlando, Florida 32814 United States Map It | ||||||||||||||
| Phone | 4072763478 | ||||||||||||||
| Best days to reach you for your interview |
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| Are you a member of the Integral Yoga Teachers Association | No | ||||||||||||||
| 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.)? | Yes | ||||||||||||||
| Please describe | Vegetarian | ||||||||||||||
| Education | |||||||||||||||
| Highest level of education completed | College | ||||||||||||||
| Please list schools attended, year graduated, and degrees obtained: |
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| School |
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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? | Southwest Institute of Healing Arts in Phoenix, AZ | ||||||||||||||
| Primary 200hr Instructor | Erica | ||||||||||||||
| 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: | Wow. My practice has evolved greatly over the past 25 years. I'll never forget my first ever yoga class. It was a sunset class in an historic schoolhouse. The instructor asked us to hold Warrior Two for an excruciating two minutes! My front thigh was burning and in that pose, I had a tremendous breakthrough in the power of a yoga practice. I realized more about in that moment than I'd ever dreamed I could. I began to practice yoga at the local gym and kept imagining how I would tweak the class (do things differently for more impact!). I stayed in my marketing careers until I had a baby at age 41. I realized I wanted a "job" that I loved as much as I loved being a new mom. And it was clear to me... TEACH YOGA! So I enrolled at Southwest Institute of Healing Arts while I was still nursing an infant and working from home on maternity leave. After earning 240 hours and teaching a few classes in Phoenix, we moved (back home) to Orlando where I created my own company, Blue Moon Yoga. My main focus and additional training has been with Seniors. I love the impact yoga can make on their day to day functioning. I've also trained and taught pre-natal yoga, mommy and me yoga, restorative yoga, gentle and power classes. My first training was Anusara and Ashtanga. I'm very drawn to restorative and Yin practices. | ||||||||||||||
| Do you meditate? | Yes | ||||||||||||||
| How long and how often do you meditate? | 6x week for 2 years | ||||||||||||||
| What other styles/traditions of Yoga have you practiced/studied? | Ashtanga, Anusara, Baron Baptiste, Prenatal, Yoga for Seniors, Kundalini, Yoga with weights, meditation classes. | ||||||||||||||
| Is English your primary language? | Yes | ||||||||||||||
| Essay Questions | Please answer the following open-ended questions fully and concisely. | ||||||||||||||
| Which yoga therapy training programs have you taken? | Duke University School of Integrative Medicine. Therapeutic Yoga for Seniors with Carol Karen... | ||||||||||||||
| Have you taken any Yoga therapy training programs? | Yes | ||||||||||||||
| Please list any other training or experience that you think is relevant. | Pre-natal yoga | ||||||||||||||
| 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 |


