| Are you a 200-hour certified yoga teacher? | Yes, I am a 200-hour certified yoga teacher | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | San Francisco 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 | Clara Mae Mills-Romines | |||||||||
| Age | 36-45 | |||||||||
| Email hidden; Javascript is required. | ||||||||||
| Address | Road with no name El Sargento Mexico Map It | |||||||||
| Phone | +526131293150 | |||||||||
| Best days to reach you for your interview |
| |||||||||
| Are you a member of the Integral Yoga Teachers Association | No | |||||||||
| Time of day? |
| |||||||||
| Health Information | ||||||||||
| Do you want to achieve your RYT 500-hour designation during this program? | Yes | |||||||||
| Chronic Health issues? | No | |||||||||
| Please list all conditions and their respective medications |
| |||||||||
| Prescription medications and/or natural remedies? | Yes | |||||||||
| Condition |
| |||||||||
| 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 | Graduate | |||||||||
| Please list schools attended, year graduated, and degrees obtained: |
| |||||||||
| School |
| |||||||||
| Other work outside of teaching Yoga | ||||||||||
| Occupation |
| |||||||||
| Current occupation(s) and number of years worked - Please list |
| |||||||||
| Occupation |
| |||||||||
| Past occupation(s) and number of years worked - Please list |
| |||||||||
| 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). | |||||||||
| Please upload 200 Hour Yoga Teacher Training Program Certificate to this Application | ||||||||||
| When and where did you receive your 200-hour level Basic Teacher Training? | 2022 Yandara Yoga Institue, Baja Sur, Mexico | |||||||||
| Primary 200hr Instructor | Craig Asher | |||||||||
| 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 practiced yoga for over 21 years. I have a personal practice of 3 days a week with a mix of Iyengar Hatha and Vinyasa gentle flow. | |||||||||
| Do you meditate? | Yes | |||||||||
| How long and how often do you meditate? | 3 days a week for 20 minutes. | |||||||||
| What other training experience have you had since 200hr teacher training? | 100 hour Sound Immersion and Yoga Nidra | |||||||||
| What other styles/traditions of Yoga have you practiced/studied? | Sound Immersion | |||||||||
| 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 just completed my first year teaching yoga. I teach 3 foundational yoga classes a week with adults and one kid's yoga class a week. | |||||||||
| Have you taken any Yoga therapy training programs? | No | |||||||||
| Please describe your studies and understanding of Ayurveda. | Ayurveda is a diet based on body types. I have no formal studies in this area. | |||||||||
| Please describe your studies and understanding of yoga philosophy. | My studies of yoga boils down to one simple phrase. "This too shall pass." I believe this is one of the most important understanding of yoga. | |||||||||
| What are your expectations as a student? What do you hope to gain, learn, or work on? | I hope to expand my knowledge to become a better teachers for my clients. | |||||||||
| Why do you want to enroll in Integral Yoga Therapy Certification (IYTh)? | I want to deepen my understanding of yoga and share my knowledge with the Spanish speaking community. | |||||||||
| How do you intend to use yoga therapy in your practice, both personally and professionally? | no | |||||||||
| 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? | I work part-time as a yoga teacher and volunteer in my local community. I plan to teach and volunteer half of the day and study the other half of the day. | |||||||||
| Are there any current scheduling conflicts or anticipated events that could affect your ability to attend any of the scheduled modules? | I will not be able to attend the Virginia in person classes, however, I can attend in person in San Francisco. | |||||||||
| Please list three references we can contact regarding your IYTh application. One of these references must be deeply steeped in the Integral Yoga Tradition. Please provide name, position, phone, and email address. | Kathleen Stebbin - Yoga Teacher - stebbins.kathleen@gmail.com Iliana Solis - Ayurveda student and Massage Therapist - +52 55 2270 9661 Sue Mohr - A yoga student - mohr.horses@gmail.com | |||||||||
| How did you find out about the Integral Yoga Therapy Certification Program? | Web Search | |||||||||
| 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. | |||||||||
| Signature | ||||||||||
| Credit Card | Visa XXXXXXXXXXXX7433 | |||||||||
| IYTh Application Fee | IYTh Application Fee, Qty: 1, Price: $108.00 |
IYTh Applications (all)
