Yoga Therapy Application Submitted

First Name *
Last Name *

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

Are you over 18 years old? *

YesNo

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

Who were you referred by?

What is your intention for taking this Yoga Therapy Training? *

What is your passion as it relates to Yoga Therapy? *

Yoga Teacher Training Background

Where did you complete your 200 hour teacher training?

Did you complete a 300 Hour Training? *

YesNo

If so where did you complete your 300 hour teacher training?

Have you done any other training/continuing education since you finished your 200 hour training? If so please list below:

Do you hold any other degrees or certifications in additional healing modalities? If so please list them below:

Other degrees or certifications:

IAYT allows for up to 300 Hours of Transfer Credit to be applied to our Yoga Therapy Training Program. For transfer hours to be considered they must be from Advanced Level training, not your 200 Hour Training. They must also align topic and time with our current curriculum.

Would you like to apply for Transfer Credit?

YesNo

If so please list the topic and number of hours of courses you would like to transfer: For Example: Pranayama - 20 Hours Subtle Anatomy - 25 Hours

When did you start teaching yoga? *

Are you currently teaching yoga? *

YesNo

If yes, how many sessions do you currently teach per week?

Please list all past and current teaching locations: *

What is the approximate number of hours of your total teaching experience? *

Is there anything else you’d like to tell us about your teaching experience?

Yoga and Meditation Background

In what year did you start practicing yoga? *

Where do you practice yoga? *

How many times a week do you practice? *

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

Do you have a current meditation practice? *

YesNo

When did you begin practicing meditation?

What tradition(s) and style(s) of meditation do you practice?

Is there anything else you'd like to tell us about your current practices?

All responses are strictly confidential. We use this information only to better assist you during the program, not to screen participants. If you are under a physician’s care please make sure they determine that your participation in this program is advisable.

Please briefly describe your overall health and wellness: *

Do you have any medical or physical challenges you’d like us to be aware of so that we can better support you in this training? *

Do you have any mental/emotional/stress challenges you’d like us to be aware of so that we can better support you in this training? *

Do you have any special learning needs you’d like us to be aware of so we can better support you in this training? *

Do you have any food or environmental allergies you’d like us to be aware of so we can better support you in this training? *

Is there anything else you’d like us to be aware of regarding your health and wellness?

Emergency Contact Information

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Phone *

Emergency Contact Email *

Do you intend to join us in person in our studio at any time during your training? *

YesNo

Do you intend to join us live via Zoom at any time during your training? *

YesNo

Do you intend to watch recordings of classes at any time during your training? *

YesNo

Should we not be able to offer a course in person due to any emergency or unforeseen situation, including but not limited to illness/natural disasters/site issues, do you agree to take the training online? No refunds will be offered when the training is made available via live stream and/or recordings. *

YesNo

Is there anything else you would like to share regarding your application?