| 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. | ||||
| 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. | ||||
| 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? | No | ||||
| Chronic Health issues? | No | ||||
| Any Dietary Restrictions/Choices (Allergies, Vegan, Gluten Free, etc.)? | Yes | ||||
| Education | |||||
| Highest level of education completed | Graduate | ||||
| 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? | Jaya Yoga Center | ||||
| Primary 200hr Instructor | Ramit Krieter | ||||
| 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: | 23 years | ||||
| Do you meditate? | Yes | ||||
| How long and how often do you meditate? | Daily/ 5-20 minutes | ||||
| What other training experience have you had since 200hr teacher training? | 300 hour at Jaya Yoga Center | ||||
| Essay Questions | Please answer the following open-ended questions fully and concisely. | ||||
| Have you taken any Yoga therapy training programs? | No | ||||
| Please list any other training or experience that you think is relevant. | 42 years as RN and nurse practitioner working in direct patient care. | ||||
| How do you intend to use yoga therapy in your practice, both personally and professionally? | See the body changing and appreciate the need for continued practice / | ||||
| 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 |


