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Practice School of Yoga Therapy Application

Please fill out the form completely, with detailed, thorough, and thoughtful answers. This will allow us to fully understand your history and move you through the application process faster.

Full Name*

Phone*

Email*

Mailing address (Street Number & Name, City, Zip Code)*

Date of Birth*

How many years have you been practicing Yoga?*

Have you completed a Yoga Alliance 200 hour program? (NOTE: proof of completion will be required)*

Yes

No

When did you complete your 200-hour training? (Month/Year)*

Besides an RYT designation, what other certifications or licenses do you hold?

How long have you been teaching yoga?*

Please give an overview of your teaching experience including years teaching, styles taught, and teaching philosophy.*

What do you think would be your greatest asset as a Yoga Therapist?*

Name an area of growth that you would like to focus as a Yoga Teacher or Yoga Therapist?*

What special populations or specific groups do you work with outside of public Yoga classes?*

Do you currently see students privately? *

Yes

No

How did you hear about the Practice School of Yoga Therapy?