| 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 | Jeannie Greene | ||||||
| Age | 46-55 | ||||||
| Email hidden; Javascript is required. | |||||||
| Phone | 9739786801 | ||||||
| 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.)? | 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 | |||||||
| 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? | Foundations Yoga of NJ | ||||||
| Primary 200hr Instructor | Sandra Izsa | ||||||
| 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 step on my daily, I practice Hatha, Vinyasa, Yin, meditation and restorative yoga. I’ve been practicing yoga for about 20 years. | ||||||
| Do you meditate? | Yes | ||||||
| How long and how often do you meditate? | I meditate daily for about 30-45min/day | ||||||
| What other training experience have you had since 200hr teacher training? | 30 hour Certified yin instructor. | ||||||
| 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 teach in a studio and privately. I hold weekly meditation and yoga classes and chose to only teach 1 studio yoga and meditation class a week. I | ||||||
| Have you taken any Yoga therapy training programs? | No | ||||||
| Please describe your studies and understanding of Ayurveda. | I’ve taken workshops on Ayurveda and enjoy the concept of tuning into your dosha and how food, oils effect your body, mind and spirit. | ||||||
| Please describe your studies and understanding of yoga philosophy. | I’m always learning with yogic philosophies. There’s always something new I discover. I love it. I love how | ||||||
| Why do you want to enroll in Integral Yoga Therapy Certification (IYTh)? | I’ve heard many great things about IYTh and also it’s in NYC. It will be easy for me to travel to the city for workshops, classes etc. Although, I haven’t been able to take a class in studio personally because of COVID, I’ve taken zoom classes. | ||||||
| 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 |


