| 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 | Lori Burckart Sraddha | |||||||||
| Age | 46-55 | |||||||||
| Email hidden; Javascript is required. | ||||||||||
| Address | 9872 Winchester Avenue Bunker Hill, WV 25413 United States Map It | |||||||||
| Phone | 3042838443 | |||||||||
| Best days to reach you for your interview |
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| Are you a member of the Integral Yoga Teachers Association | Yes | |||||||||
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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? | Yes | |||||||||
| Communicable Diseases? | No | |||||||||
| Please describe | Minisci repaired and ACL replaced on right knee | |||||||||
| 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 and dairy free | |||||||||
| 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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| 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? | 7 Centers Yoga Arts; Sedona, AZ | |||||||||
| Primary 200hr Instructor | Ruth “Sraddhasagar” Hartung | |||||||||
| 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 began my yoga journey in 2015. I practiced between 4-5 days a week at a yoga studio near my work, mainly Hatha. After I completed my yoga training in 2017, I continued to practice at the yoga studio and began a home practice, which I continue to this day. I spend a minimum of 30 minutes to an hour each day, practicing asanas, pranayama, and meditation, practicing Hatha. | |||||||||
| Do you meditate? | Yes | |||||||||
| How long and how often do you meditate? | 20 minutes | |||||||||
| What other training experience have you had since 200hr teacher training? | Yoga Nidra, Power Yoga, Yin Yoga, Intermediate Integral Hatha Yoga, Yoga of Recovery, Yoga for Trauma, Children’s Yoga (currently working toward certification), Stress Management, and Raja Yoga (current) | |||||||||
| What other styles/traditions of Yoga have you practiced/studied? | Yoga Nidra, Power Yoga, Yin Yoga | |||||||||
| 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. | I teach family and friends, and have for the past few years; my daughter (20s) and friends (60s) with limited mobility. | |||||||||
| Which yoga therapy training programs have you taken? | Stress Management (completing Sunday, October 3, 2021) | |||||||||
| Have you taken any Yoga therapy training programs? | Yes | |||||||||
| Do you have any special interests or capabilities that may be relevant? | I have an interest in helping women in domestic violence situations because I worked in a shelter a few years ago, and those who have dementia because of my father. | |||||||||
| Please list any other training or experience that you think is relevant. | Not 100% sure if any other trainings are applicable | |||||||||
| Please describe your studies and understanding of Ayurveda. | I received some training on Ayurveda during my 200 hour studies. I am familiar with the doshas and some of the foods. | |||||||||
| Please describe your studies and understanding of yoga philosophy. | I may currently training in Raja Yoga. | |||||||||
| What are your expectations as a student? What do you hope to gain, learn, or work on? | I want to be fully equipped to assist with populations in need of movement. | |||||||||
| Why do you want to enroll in Integral Yoga Therapy Certification (IYTh)? | I believe everyone deserves to live their life to the fullest extent possible, including movement in the body and mind. | |||||||||
| How do you intend to use yoga therapy in your practice, both personally and professionally? | I want to be able to age in a positive and healthy way, free of pain and bodily suffering. Professionally, I want to assist others to move, believe in me and the process, and be kind to themselves. | |||||||||
| 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 have time in the evenings and on the weekends. My only other commitment at this time is my job. | |||||||||
| List any interesting things you would like to share about yourself | I foster dogs and volunteer at Horses with Hearts (side walking) c | |||||||||
| Are there any current scheduling conflicts or anticipated events that could affect your ability to attend any of the scheduled modules? | N/A | |||||||||
| 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. | Kirk Wolgamott Kim Grenfield-Rice Swami Ramananda (reference submitted) | |||||||||
| How did you find out about the Integral Yoga Therapy Certification Program? | Friend or Teacher | |||||||||
| 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 | Sue “Sarala” Evans | |||||||||
| 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 |
IYTh Applications (all)
