300-Hour Yoga Teacher Training Application Your Full Name (required) Your Email (required) Name as you would like it to appear on the certificate (required) Address (required) Contact Phone (required) DOB YYYY-MM-DD (required) Gender FemaleMaleOther T-Shirt Size XSSMLXL Occupation-Current and any prior occupations that you would like to share with us.(required) Education, Training, and Special Skills-Please share the level of education that you have completed. Also any other trainings or special skills that you have that support your practice of teaching yoga. Emergency Contact (required) Emergency Contact Relationship (required) Emergency Contact Phone (required) Have you ever been convicted of a crime? (If yes, we will contact you to further discuss the circumstances.) (required) NoYes Where did you receive your 200 HR YTT certification? (required) What year did you graduate with your 200 HR YTT? (required) *Are you a Registered Yoga Teacher with Yoga Alliance? (required) YesNo If yes, what is the full name that you are listed under? (required) *If not, you will need to supply a copy of your 200 hour Yoga Teacher Certificate, email to Katey@Posabilities4u.com. How long have you been practicing yoga? (required) Please describe your current yoga practice-including description and frequency (this may include asana, pranayama, meditation, or any other regular practice that is yoga for you.) What style(s) of yoga do you primarily practice? Teaching experience - please exlain whether you have experiences teaching, how long you have been teaching, and how often you currently teach. Also, describe what types of classes or sessions you are teaching. (required) What are your greatest strengths as a yoga teacher and / or practitioner? Please rate your level of confidence / proficiency in the following areas: Adaptive Yoga (Working with students with special needs / considerations) NoviceIntermediateAdvancedMaster Anatomy & Physiology NoviceIntermediateAdvancedMaster Asana NoviceIntermediateAdvancedMaster Asana modifications NoviceIntermediateAdvancedMaster Ayurveda NoviceIntermediateAdvancedMaster Body reading / postural observation NoviceIntermediateAdvancedMaster Business of yoga NoviceIntermediateAdvancedMaster Chair yoga NoviceIntermediateAdvancedMaster Mantra NoviceIntermediateAdvancedMaster Meditation NoviceIntermediateAdvancedMaster Mudra NoviceIntermediateAdvancedMaster Physical assists NoviceIntermediateAdvancedMaster Pranayama NoviceIntermediateAdvancedMaster Restorative yoga NoviceIntermediateAdvancedMaster Subtle energy body NoviceIntermediateAdvancedMaster Trauma sensitivity NoviceIntermediateAdvancedMaster Working with private clients NoviceIntermediateAdvancedMaster Yin Yoga NoviceIntermediateAdvancedMaster Yoga Nidra NoviceIntermediateAdvancedMaster Yoga Sutras NoviceIntermediateAdvancedMaster Please tell us about your reasons for wanting to study at the Tula Institute of Yoga. Rate your level of interest in further development in the following areas: Adaptive Yoga (Working with students with special needs or considerations) Not interestedNeutralInterestedVery Interested Anatomy & Physiology Not interestedNeutralInterestedVery Interested Asana Not interestedNeutralInterestedVery Interested Asana modifications Not interestedNeutralInterestedVery Interested Ayurveda Not interestedNeutralInterestedVery Interested Body reading / postural observation Not interestedNeutralInterestedVery Interested Business of yoga Not interestedNeutralInterestedVery Interested Chair Yoga Not interestedNeutralInterestedVery Interested Mantra Not interestedNeutralInterestedVery Interested Meditation Not interestedNeutralInterestedVery Interested Mudra Not interestedNeutralInterestedVery Interested Physical assists Not interestedNeutralInterestedVery Interested Pranayama Not interestedNeutralInterestedVery Interested Restorative Yoga Not interestedNeutralInterestedVery Interested Subtle Energy Body Not interestedNeutralInterestedVery Interested Trauma sensitivity Not interestedNeutralInterestedVery Interested Working with Private Clients Not interestedNeutralInterestedVery Interested Yin Yoga Not interestedNeutralInterestedVery Interested Yoga Nidra Not interestedNeutralInterestedVery Interested Yoga Sutras Not interestedNeutralInterestedVery Interested Do you have any other areas of interest not listed above, if yes, what are they? Is there anything else that you would like us to know about you? By submitting this application I agree that I am physically and emotionally fit to complete this course of study. I agree that throughout the course of the program I will treat the space, other students, instructors, and clients at Posabilities with respect and will respect their confidentiality in and outside of the studio regarding any personal information. I agree that if I am accepted into this program and participate in the Tula Institute of Yoga 300 Hour advanced Yoga Teacher Training in attainable ad sustainable yoga practices program I will not open a Yoga Studio, or a business whose primary offering is Yoga, within a 10 mile radius of Posabilities, 15 Tannery St., Norway, Maine for 2 years after the completion of this training program. Enter your full name as indication of your agreement to the above statement. (required) Signature Date YYYY-MM-DD (required) Δ
