| Prerequisites | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 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. | |||||||||
| Best days to reach you for your interview |
| |||||||||
| Are you a member of the Integral Yoga Teachers Association | Yes | |||||||||
| Time of day? |
| |||||||||
| 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 | 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). | |||||||||
| When and where did you receive your 200-hour level Basic Teacher Training? | I did basic 2011 . Intermediate 2018, advance 2020 | |||||||||
| Primary 200hr Instructor | Satya Greenstone | |||||||||
| 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: | Hatha yoga integral | |||||||||
| Do you meditate? | Yes | |||||||||
| How long and how often do you meditate? | Everyday | |||||||||
| What other training experience have you had since 200hr teacher training? | I granduate 2 levels Yoga for special children (Sonia Summar) 2015/2016 | |||||||||
| What other styles/traditions of Yoga have you practiced/studied? | Integral yoga by Sri Aurobindo and mother mirra. I am graduation at Brasil ANYI Assossiacao Nacional de | |||||||||
| What is your primary language? | Portugues | |||||||||
| Is English your primary language? | No | |||||||||
| 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 one studio at Brasil Niterói Rj. | |||||||||
| Have you taken any Yoga therapy training programs? | No | |||||||||
| Do you have any special interests or capabilities that may be relevant? | No | |||||||||
| Please list any other training or experience that you think is relevant. | I Did yoga for education with Mauricio Salllen at Brasil 2012 . I love this course for teaching in school. | |||||||||
| Please describe your studies and understanding of Ayurveda. | Understand life as combination of body, sense organs , mind and soul. | |||||||||
| Please describe your studies and understanding of yoga philosophy. | Yoga philosophy in my studies is a practiice that envolve well being at all levels : mental, physical , emotional and spiritual. This practice consists of the union of the body and mind ti what is around us. | |||||||||
| What are your expectations as a student? What do you hope to gain, learn, or work on? | my expectations is understanding more deep about yoga. | |||||||||
| Why do you want to enroll in Integral Yoga Therapy Certification (IYTh)? | I would like to continuing study yoga and more benefits to help me and someone. | |||||||||
| How do you intend to use yoga therapy in your practice, both personally and professionally? | I can observe the person more deep and understand more sútil and more health . | |||||||||
| 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 will Create time to involving a commitment to yoga practice lecture , assessments, experimental study, and homework assignments . | |||||||||
| 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 |


