| Are you a 200-hour certified yoga teacher? | No | ||||||
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| Prerequisites | |||||||
| Have you been teaching Yoga for 1 year or more? (minimum 50 hours) | No | ||||||
| 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 | Aremy Carolina Perez | ||||||
| Age | 36-45 | ||||||
| Email hidden; Javascript is required. | |||||||
| Address | 3275 Mission Street #3 San Francisco, California 94110 United States Map It | ||||||
| Phone | 4154246256 | ||||||
| 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 | Gluten | ||||||
| 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 | |||||||
| Occupation |
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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). | ||||||
| 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. | None | ||||||
| Have you taken any Yoga therapy training programs? | No | ||||||
| Do you have any special interests or capabilities that may be relevant? | Trauma-informed Yoga therapist certificate would be a special interest and goal to achieve. I currently work at a homeless shelter for families and would like to learn more about trauma-informed yoga. To help my client deal with stress. | ||||||
| Please list any other training or experience that you think is relevant. | I take beginning yoga and yoga moment classes currently for spring semester at city college of SF | ||||||
| Please describe your studies and understanding of Ayurveda. | I don't have much understanding of Ayurveda and the would like to learn more so I can further my practice as a begginer. | ||||||
| Please describe your studies and understanding of yoga philosophy. | I practice at a local yoga studio and have loved the practice and how to use Yoga on a daily basis for helping others and showing compassion all beings. | ||||||
| What are your expectations as a student? What do you hope to gain, learn, or work on? | Learn how to use Yoga to help calm the nervous system and promote be | ||||||
| Why do you want to enroll in Integral Yoga Therapy Certification (IYTh)? | To use it in my current career as a case manager and help my client that is dealing with substance abuse struggles. | ||||||
| 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 |
IYTh Applications (all)
