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Tula Institute of Yoga

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)

    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)

    Physical Therapy | Yoga | Wellness in Norway, Maine