| 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 | Laura Beth Guilliams Bhavani | ||||||||||||
| Age | 36-45 | ||||||||||||
| Email hidden; Javascript is required. | |||||||||||||
| Address | 2287 Sawmill Road Ferrum, Virginia 24088 United States Map It | ||||||||||||
| Phone | 5404207914 | ||||||||||||
| 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? | Yes | ||||||||||||
| Please describe | Celiac Disease, PMDD | ||||||||||||
| Please list all conditions and their respective medications |
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| Prescription medications and/or natural remedies? | Yes | ||||||||||||
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| 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 | Gluten Free due to Celiac Disease | ||||||||||||
| 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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| 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? | July 2016 at The Breathing Space in Blacksburg, Va. | ||||||||||||
| Primary 200hr Instructor | Anna Pittman | ||||||||||||
| 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 practicing Hatha yoga for more than 20 years. My practice consists of daily asana practice in the evenings as well as mediation practice in the morning and evenings. In addition to Hatha Yoga, I also incorporate Yin & Restorative asana as well as Jnana Yoga & Karma Yoga. | ||||||||||||
| Do you meditate? | Yes | ||||||||||||
| How long and how often do you meditate? | ~20 minutes at least twice each day | ||||||||||||
| What other training experience have you had since 200hr teacher training? | 300-hour Hatha YTT & Self-Awareness Program completed in November 2018 | ||||||||||||
| What other styles/traditions of Yoga have you practiced/studied? | I practice meditation daily in the mornings and evenings for about 20 minutes each time on weekdays (due to my work schedule) and longer on weekends. My intention is resting awareness, allowing for expanded consciousness and being-ness. | ||||||||||||
| 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 began teaching formally in November of 2014 as a substitute teacher for Life in Balance Counseling & Wellness Center and then became a regular teacher there in 2015, teaching Children's Yoga and Family Yoga. I began teaching Family Yoga at Healing Tree Wellness Center in Floyd, Va. in January 2015. From 2015-2017, I taught informally for coworkers at my full-time jobs where we focused on yoga, meditation, and mindfulness work for allied professionals responding to children and adults impacted by interpersonal violence in our community. In May 2017, I joined the teaching faculty at Grace Yoga & Healing Pathways in Cloverdale, Va. where I taught yoga for beginners, yoga nidra, workshops, yoga for the heart, and gentle yoga. Additionally, I have taught a Yoga for Survivors series at SARA Roanoke since April 2017 - this series is designed specifically for survivors of sexual trauma stemming from abuse and assault. Currently, I teach at several community-based organizations working with trauma survivors, food & housing insecure people, and people with mobility challenges. | ||||||||||||
| Have you taken any Yoga therapy training programs? | No | ||||||||||||
| Do you have any special interests or capabilities that may be relevant? | My experience working in crisis response has allowed me the opportunity to develop and nurture an ability to hold space, remain non-judgmental, and maintain calm during the most chaotic of circumstances. I also teach and train crisis advocates using the skills I have learned studying yoga to help them better learn the importance of stayinig connected to the Self during another's crisis. | ||||||||||||
| Please list any other training or experience that you think is relevant. | I have worked with survivors of trauma for ~20 years, providing crisis intervention and support. I am also a certified aromatherapist. | ||||||||||||
| 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? | My employer is incredible and has agreed to support me in this program, providing me the necessary time & space to commit to it. I have a lot of autonomy and flexibility, so I will be able to prioritize this as expected. | ||||||||||||
| How did you find out about the Integral Yoga Therapy Certification Program? | Integral Yoga Center | ||||||||||||
| 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 |


