| 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 | New York IYI | ||||||||
| 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 | Paula Gifford McKenzie Suranadi | ||||||||
| Age | 56-65 | ||||||||
| Email hidden; Javascript is required. | |||||||||
| Address | 444 CENTRAL PARK W, APT 7F APT 7F NEW YORK, NEW YORK 10025-4357 United States Map It | ||||||||
| Phone | 2122226337 | ||||||||
| 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 | ||||||||
| Prescription medications and/or natural remedies? | No | ||||||||
| Serious illness, injury, or major surgery in the last 5 years? | Yes | ||||||||
| Communicable Diseases? | No | ||||||||
| Please describe | Broken clavicle repaired surgically August 2021 | ||||||||
| 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 | Vegetarian | ||||||||
| 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 | |||||||||
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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). | ||||||||
| Please upload 200 Hour Yoga Teacher Training Program Certificate to this Application | 200-hr-yoga-certificate.pdf | ||||||||
| When and where did you receive your 200-hour level Basic Teacher Training? | IYINY, January 2015 | ||||||||
| Primary 200hr Instructor | Netri La Lumia Palazzolo | ||||||||
| 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: | Integral Yoga is my style. | ||||||||
| Do you meditate? | Yes | ||||||||
| How long and how often do you meditate? | Twice daily, 30 minutes | ||||||||
| What other training experience have you had since 200hr teacher training? | Anatomy Studies for Yoga Teachers (ASFYT 1,2 & 3) with Jason Ray Brown - Certificate of Completion Nov. 2015 | ||||||||
| What other styles/traditions of Yoga have you practiced/studied? | In the summer I take classes on Cape Cod with teachers from various backgrounds. | ||||||||
| 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 started as a substitute Level I teacher at IYI in 2016, then began teaching a regular class alternating with another instructor every week. | ||||||||
| Have you taken any Yoga therapy training programs? | No | ||||||||
| Do you have any special interests or capabilities that may be relevant? | I love working with the elderly, and am getting to be elderly myself! | ||||||||
| Please list any other training or experience that you think is relevant. | I recently took Timothy McCall's 3-Sunday seminar on Preventing Osteoporotic Fractures with Yoga. | ||||||||
| Please describe your studies and understanding of Ayurveda. | I have not taken any courses that focus on Ayurveda, and look forward to doing so. | ||||||||
| Please describe your studies and understanding of yoga philosophy. | I'm certified in Meditation and Raja Yoga. | ||||||||
| What are your expectations as a student? What do you hope to gain, learn, or work on? | I expect that the trainings in the various modules will be rigorous but deeply energizing, as I've experienced trainings to be so far. | ||||||||
| Why do you want to enroll in Integral Yoga Therapy Certification (IYTh)? | After my Intermediate Yoga Teacher training Kali Morse said: "Yoga therapy is the future of yoga". At that point I decided it would be my path. | ||||||||
| How do you intend to use yoga therapy in your practice, both personally and professionally? | I would love to be able to work with an integrative medicine clinic like the ones Dr. Sandra McLanahan and Dr. Dean Ornish run, where each patient sees a doctor, a nurse, a Yoga teacher or therapist, an exercise physiologist, a psychologist and a dietitian working together as a team. I think these clinics are the most promising model for the future of medicine. It would be wonderful to be part of a team of experts with these diverse and overlapping disciplines. | ||||||||
| 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? | The study, practice and teaching of yoga has been my primary focus for years now. Having been through multiple trainings at IYINY, I have experienced the rigor required. This program will be my priority, and I intend to fulfill the training requirements to the best of my ability. | ||||||||
| List any interesting things you would like to share about yourself | After graduating college I worked in a molecular genetics lab at MIT for 3 years. | ||||||||
| Are there any current scheduling conflicts or anticipated events that could affect your ability to attend any of the scheduled modules? | Not that I foresee. | ||||||||
| 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. | Dianne Rashmi Galliano, MS, E-RYT 500, RPYT Katrina Cary Elisabeth Radha Cunnick | ||||||||
| How did you find out about the Integral Yoga Therapy Certification Program? | Integral Yoga Center | ||||||||
| 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 attended the January 16, 2021 virtual open house which I learned about through the IYINY news letter. | ||||||||
| What print and/or online Yoga and wellness publications you read frequently and what social media you follow for Yoga information? | IY Magazine | ||||||||
| 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)
