| 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 | Nathalie Anne Wiesendanger | |||||||||
| Age | 26-35 | |||||||||
| Email hidden; Javascript is required. | ||||||||||
| Address | 32 West 83rd Street At. 7 New York, NY 10024 United States Map It | |||||||||
| Phone | 6464779969 | |||||||||
| 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 | Allergies: dairy, walnuts, figs | |||||||||
| 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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| 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? | NY Loves Yoga | |||||||||
| Primary 200hr Instructor | Gina Cunningham | |||||||||
| 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: | 11 years. Initially I began practicing yoga attending studio classes offered during my time in college. I took a variety of types of classes. Over the years my practice evolved to include a home practice. I practice every day. My personal practice involves a home practice- I practice hatha, and meditation daily (and incorporated through the day as needed, practice has very much become life/ life has become intertwined with practice). I also practice breath work and most days, although for me this is less of a formal practice than my movement practice (although I feel as though my relationship with my breath work practices lies deeper than my physical movement practices). I still attend studio classes a few times a week and teach once a week, and substitute when possible. Much of my personal practice now involves planning classes, so even when I'm not practicing physically or actively, I am usually thinking about practice- be that dharma talks to include in class, or a movement sequence I enjoy and would like to teach or breath work that might be supportive in a class I'm preparing. | |||||||||
| Do you meditate? | Yes | |||||||||
| How long and how often do you meditate? | 1-2 times a day for about 8-10 minutes at a time, usually with pauses for conscious breath throughout the day. | |||||||||
| What other training experience have you had since 200hr teacher training? | Mentorship program post 200hr graduation | |||||||||
| What other styles/traditions of Yoga have you practiced/studied? | Vinyasa, hatha. | |||||||||
| 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? | None | |||||||||
| 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 |


