Masters/YT Application Submitted

First Name *
Last Name *

Street Address 1 *
Street Address 2
City *
State *
Postal Code *
Country *

How did you first hear about the Soul of Yoga? *

Who were you referred by?

What is your passion as it relates to teaching yoga? *

What is your reason for taking this training and wanting to become a yoga therapist? *

Education Background

Highest level of education completed *

No High School DiplomaHigh School DiplomaCollegeGraduate

Name of College or University

Are you a 200 Hour certified Yoga Teacher?

Name of school where you received 200 hour certification *

Have you completed a 300 hour Yoga teacher training?

Name of school where you received 300 hour certification (not required)

Have you done any other training/continuing education since you finished your 200hr or 300/500hr training?

Other training or CE?

Other degrees or certifications

Have you taught yoga after you completed your 200hr certification? If so, please list the locations, the date you started teaching, the total number of hours of teaching experience, and the current number of classes you teach per week.

Yoga teaching location(s)

What approximate date did you start teaching yoga?

Approximate number of hours of teaching experience

Number of classes taught per week currently

Yoga and Meditation Background

In what year did you start practicing yoga? *

Where do you practice yoga? *

How many times do you practice each week? *

What tradition(s) or style(s) do you practice? *

Number of meditations weekly

All responses are strictly confidential. We use this information only to better assist you during the program, not to screen participants, unless your doctor determines that participation would be medically inadvisable.

Please briefly describe your current overall health. *

Describe history (include dates) of back/spine/neck problems. *

Describe any history (include dates) of joint problems. *

Date blood pressure was last checked *

Have you ever taken blood pressure medication? *

YesNo

Date last blood pressure medication was taken

Have you experienced any of the following? (Please use Ctrl to select multiple items) *

If any other not listed, please specify.

Describe any history or risk of cardiovascular disease. *

Any other limitations, dietary restrictions, or health issues? *

Any learning or physical challenges we can support you with? *

What are your current stresses and psychological challenges? *

Women: Are you pregnant?

YesNo

If pregnant, what is your due date?

Emergency Contact Information

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Phone *

Emergency Contact Email *

In Person & Online Trainings

Should you not be able to attend this training in person due to COVID19 you agree to take it online. No refunds will be offered when the training is made available online via live stream and/or recordings. *

YesNo

Any other information?

Anything else you would like to share regarding your application