| 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. | ||||||
| Name | Kimberly Anne Reyes | ||||||
| Age | 26-35 | ||||||
| Email hidden; Javascript is required. | |||||||
| Address | 1723 Raintree Place DAVIS, CA 95618 United States Map It | ||||||
| Phone | 4155133079 | ||||||
| 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 speak with a therapist once a month for 30 minutes. In the beginning, I started therapy to help with processing and regulating emotions and to improve relationships, and currently, therapy serves as a regular check in and extra support if/when needed. | ||||||
| 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 | Pescatarian/fish and vegetable diet | ||||||
| Education | |||||||
| Highest level of education completed | College | ||||||
| Please list schools attended, year graduated, and degrees obtained: |
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| School |
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| Other work outside of teaching Yoga | |||||||
| 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? | CorePower Yoga (Westwood, Los Angeles) | ||||||
| Primary 200hr Instructor | Nicole Pham | ||||||
| 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 started practicing regularly in 2015 and since, have practice various styles (i.e. Yin, Restorative, Ashtanga, etc.) under various teachers | ||||||
| Do you meditate? | Yes | ||||||
| How long and how often do you meditate? | at least 5 minutes, 3-4 times a week | ||||||
| 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? | No | ||||||
| How did you find out about the Integral Yoga Therapy Certification Program? | Web Search | ||||||
| Please provide specific website, studio, or individual names if you can, as well as any other specific information on how you heard about the program | I searched on Google for yoga therapy programs and this is the first that came up. I've also heard of the Institute of Integral Yoga in SF. | ||||||
| What print and/or online Yoga and wellness publications you read frequently and what social media you follow for Yoga information? | I follow a few yoga teacher colleagues and mostly my teacher, Jorgen Christiansson. | ||||||
| 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)
