| 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. | ||||||||||||
| Home Center | Yogaville, VA | ||||||||||||
| 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 | Alia Legaux | ||||||||||||
| Age | 36-45 | ||||||||||||
| Email hidden; Javascript is required. | |||||||||||||
| Address | 1824 N. Derbigny St New Orleans, LA 70116 United States Map It | ||||||||||||
| Phone | 5049317144 | ||||||||||||
| 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 | ||||||||||||
| Please list all conditions and their respective medications |
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| Prescription medications and/or natural remedies? | Yes | ||||||||||||
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| 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 | pescatarian, no cooked vegetables, avocado allergy | ||||||||||||
| Education | |||||||||||||
| Highest level of education completed | Graduate | ||||||||||||
| 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). | ||||||||||||
| Please upload 200 Hour Yoga Teacher Training Program Certificate to this Application | Full-Circle-200-Hr-Training-11-17-18.pdf | ||||||||||||
| When and where did you receive your 200-hour level Basic Teacher Training? | 11-17-2018 Maui, Hawaii with Full Circle Yoga School | ||||||||||||
| Primary 200hr Instructor | Molly Warner | ||||||||||||
| 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 regularly for about 13 years. My personal yoga practice includes a mixture of types of yoga: yin, restorative, Bikram, power, ashtanga, vinyasa. At times, I participate in 2-3 yoga classes day. Although my goal is to practice daily, that is not always the case. I am currently working through some physical limitations due to chondromalacia in my knees, which I have been diagnosed with since I was a 7 years old, as well as a recent injury to my piriformis. During the month of September 2021, I have practiced almost daily with these conditions while completing my 500 hour yoga teaching training. | ||||||||||||
| Do you meditate? | Yes | ||||||||||||
| How long and how often do you meditate? | I meditate daily for about 30 minutes to an hour | ||||||||||||
| What other training experience have you had since 200hr teacher training? | September 1-29, 2021 (currently completing) 500 hr YTT with Nepal Yoga Home in Kathmandu, Nepal | ||||||||||||
| What other styles/traditions of Yoga have you practiced/studied? | yin, restorative, Bikram, power, ashtanga, vinyasa | ||||||||||||
| 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. | Lead yoga classes and yoga retreats of all skill levels (including senior citizens and children) | ||||||||||||
| Have you taken any Yoga therapy training programs? | No | ||||||||||||
| Do you have any special interests or capabilities that may be relevant? | I am a Master Certified Health Education Specialist and Health Coach. My interests are to provide alternative approaches to health and wellness to clients and communities. | ||||||||||||
| Please list any other training or experience that you think is relevant. | As a RYT with Yoga Alliance, I complete have completed continuing education courses and have yoga teacher certifications in: | ||||||||||||
| Please describe your studies and understanding of Ayurveda. | My advance 500 hr YTT in Nepal included a focused training on Ayurveda. For about 5 years, I have self-studied Ayurveda and regularly take Ayurvedic supplements as a part of preventive health measure. Throughout the year, I see Ayurvedic specialists for health assessments and treatments, including massages (oiling) and vastis. | ||||||||||||
| Please describe your studies and understanding of yoga philosophy. | I have learned of yoga philosophy in both my 200hr and 500 hr YTT. I am very familiar with the foundation and philosophy of yoga. Yoga is an inward journey to connect the mind, body, and spirit. | ||||||||||||
| What are your expectations as a student? What do you hope to gain, learn, or work on? | I expect to learn about using yoga as a healing therapy. I plan to increase my knowledge and awareness about how yoga and Ayurveda can be used for specific chronic conditions to relieve pain and discomfort and even eliminate some conditions. | ||||||||||||
| Why do you want to enroll in Integral Yoga Therapy Certification (IYTh)? | ASAP.. I am currently enrolled in the first module of Integral Yoga Therapy training this Fall 2021 and would like this course to count toward my yoga therapy enrollment and certification. | ||||||||||||
| How do you intend to use yoga therapy in your practice, both personally and professionally? | Yes | ||||||||||||
| 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 am an independent consultant, President of the company/business, and make my own schedule for work. There are not issues with making time to fulfill the IYTh program training requirements. | ||||||||||||
| List any interesting things you would like to share about yourself | I am a world traveler who enjoys seeing the beautiful world we are blessed to experience. I love to hike and have hiked Mt. Kilimanjaro (Tanzania) to the summit as well as other mountains such Mt. Fuji (Japan). I have been to all 7 continents completing hikes, including Antartica. | ||||||||||||
| Are there any current scheduling conflicts or anticipated events that could affect your ability to attend any of the scheduled modules? | no | ||||||||||||
| 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. | Deependra Bhatt, Hatha Yoga Instructor and Teacher/Yogachary and Owner of VINYASA NEPAL YOGA STUDIO IN KATHMANDU NEPAL +977 981-3237572, Vinyasanepal@gmail.com Dr. Lorraine Williams, USPHS Health Services Officer/Health Care Consultant, +1-770-910-0446, lndixon05@gmail.com Mrs. Marilyn Powell, Author and Wellness Retreat Coach, +1-904-614-8005, marilynepowell@gmail.com | ||||||||||||
| 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 your specific website as well as the international association of yoga therapists website for numerous schools and selected yours due to the flexibility in course completion and detailed curriculum available on your website. | ||||||||||||
| What print and/or online Yoga and wellness publications you read frequently and what social media you follow for Yoga information? | Yoga Journal | ||||||||||||
| 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 | |||||||||||||
| IYTh Application Fee | IYTh Application Fee, Qty: 1, Price: $108.00 |


