| 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) | 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. | ||||||||||||||||||
| Name | Jennifer Brooke Prudhomme Brooke | ||||||||||||||||||
| Age | 36-45 | ||||||||||||||||||
| Email hidden; Javascript is required. | |||||||||||||||||||
| Address | 2533 31st Ave S seattle, WA 98144 United States Map It | ||||||||||||||||||
| Phone | 9016039662 | ||||||||||||||||||
| 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? | Yes | ||||||||||||||||||
| Do you have any concerns about your physical or mental health that may impact your participation in this program? | No | ||||||||||||||||||
| Please describe | I have been working with a jungian analyst since I was 27 and switched 6 years ago to a therapist who works with Internal Family Systems and EMDR. I meet with him once a month and sometimes once every 6 months. | ||||||||||||||||||
| 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 | vegetarian and gluten free | ||||||||||||||||||
| 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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| Occupation |
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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? | Delta Groove Kundalini Yoga Teacher Trining | ||||||||||||||||||
| Primary 200hr Instructor | Olivia Lomax | ||||||||||||||||||
| Have you had a personal practice for at least one year? | No | ||||||||||||||||||
| Do you meditate? | Yes | ||||||||||||||||||
| How long and how often do you meditate? | daily | ||||||||||||||||||
| What other training experience have you had since 200hr teacher training? | My practice has suffered in my role as a midwife. Everything has actually. I have just recently started to practice again with one of my former teachers in hoboken via the virtual space. My training is extensive, both physically and spiritually, I just need a mentor who can do for me what I do for 100's of women in the birthing space. | ||||||||||||||||||
| What other styles/traditions of Yoga have you practiced/studied? | Jivamukti, Hatha, Vinyasa, Kundalini, Yin, Bikrim, | ||||||||||||||||||
| Is English your primary language? | Yes | ||||||||||||||||||
| Essay Questions | Please answer the following open-ended questions fully and concisely. | ||||||||||||||||||
| Have you taken any Yoga therapy training programs? | Yes | ||||||||||||||||||
| 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)
