Graduate Teacher Training Application

First Name:*

Last Name:*

Email:*

Date of birth:*

Street Address:*

City:*

Province/State:*

Country:*

Postal/Zip Code:*

Phone (h):

Phone (w):

Phone (c):

Occupation:*

Please list any injuries, physical or psychological conditions that might keep you from participating fully in the training.*

Emergency contact:*

Relationship to emergency contact:*

Emergency contact phone:*

Emergency contact - Doctor:*

Doctor\'s phone:*

Emergency contact - Therapist:

Therapist\'s phone:

Have you attended other teacher training programmes?*

yes no

If yes, please describe, including name of training, location, description and year of completion.

If any programmes listed above were not completed, please provide reasons.

Please provide the name of a person who supports your application to this training:*

Phone number of reference:*

Please provide the name of a second person who supports your application to this training:*

Phone number of second reference:*

Write an essay of 500-1250 words on your background in yoga and teaching. Include your ideas for independent study and relevant experience in that area, including teaching experience.*

Please submit an outline of your home practice.*

If you are currently teaching, describe the classes and include a sample lesson plan.

Date:*

By checking this box and submitting this form I certify that the above information is correct and complete to the best of my knowledge.*

All Studio news and information goes out by email. Would you like to be on our mailing list?*

Yes, I would like to continue receiving emails
Yes, I would like to be put on your email list
No, I don not want to receive emails