| 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 | Audrey Kolb Prema | ||||
| Age | 65+ | ||||
| Email hidden; Javascript is required. | |||||
| Address | 12573 Leavitt Rd Oberlin, OH 44074 United States Map It | ||||
| Phone | 4407744914 | ||||
| Best days to reach you for your interview |
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| Are you a member of the Integral Yoga Teachers Association | Yes | ||||
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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 | High School/GED | ||||
| Other work outside of teaching Yoga | |||||
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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? | San Francisco | ||||
| Primary 200hr Instructor | Madhuri Flynn | ||||
| Have you had a personal practice for at least one year? | Yes | ||||
| Do you meditate? | Yes | ||||
| How long and how often do you meditate? | 1 year - 10-30 minutes | ||||
| What other training experience have you had since 200hr teacher training? | Massage therapy, craniosacral therapy | ||||
| What other styles/traditions of Yoga have you practiced/studied? | None | ||||
| 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 have been teaching at Solaluna Yoga studio in Oberlin, Ohio since 2008. I teach many levels which I was trained for in San Francisco -- gentle, beginning, advanced/beginning. My most popular classes are the gentle Yoga classes and I am known in Oberlin as the Yoga teacher who teaches a gentle class, and mostly to the elderly. | ||||
| Which yoga therapy training programs have you taken? | Dr. Loren Fishman, Yoga Therapy Essentials | ||||
| Have you taken any Yoga therapy training programs? | Yes | ||||
| Do you have any special interests or capabilities that may be relevant? | My students have various limitations and I find it a welcome challenge to figure out how to adjust the pose and what props to use to help them practice these poses: polio, cerebral palsy, replaced hip, replaced shoulders, Alzhieimer's, scoliosis, sciatica | ||||
| Please describe your studies and understanding of Ayurveda. | I know the doshas and that's it. | ||||
| Please describe your studies and understanding of yoga philosophy. | I have certification in Raja Yoga from SFYI, taught by Swami Vivakananda. I am very well known for reading about Yoga and its history/philosophy, such as The Eight-Fold Path, Yoga Sutras of Patanjali, the koshas, the branches of Yoga, etc. | ||||
| Why do you want to enroll in Integral Yoga Therapy Certification (IYTh)? | I find the challenge fascinating in figuring out how to adjust an asana for a person's particular body | ||||
| How did you find out about the Integral Yoga Therapy Certification Program? | Specific Website | ||||
| Please provide specific website, studio, or individual names if you can, as well as any other specific information on how you heard about the program | I am a member of IYTA and get the newsletter online. | ||||
| 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 |


