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Karma Yoga Teacher Training Application
Please complete this application as honestly and thoroughly as possible!
Personal Information
First name *
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Last name *
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Apartment/Unit #
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Street Address *
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City *
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State/Province
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Email *
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Phone *
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DOB (DD/MM/YYYY) *
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Gender *
Current Occupation *
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Do you currently teach Yoga? If yes, please describe in detail what and where you teach. *
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How did you hear about our program? Please be specific (google organic search, google adwords, etc)? *
Other
IN CASE OF EMERGENCY
First name *
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Last name *
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Relationship *
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Phone *
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PROGRAM
What Program Are You Applying For (e.g. 200 hr, online, etc)
Indicate the program you are applying for: start and end dates and city or if you are applying to the self study or enhanced program (for example, Vancouver 2017 summer weekdays) *
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QUESTIONS
How long have you been practicing yoga?
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Have you studied any other Eastern systems of the body (e.g. Tai Chi, bodywork, martial arts, acupuncture, etc.)? Have you studied any Western systems of the body (e.g. dance, Pilates, etc.)?
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Are you currently using any prescription medication? If yes, please name the medication, reason for taking it. Also provide a brief medical history of all serious physical and mental issues you have, if any (all info provided is keep strictly confidential)? *
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Please describe your yoga background?
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What would you like to gain from this program? *
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Is there any other information you would like us to know about you or your interest in yoga?
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Other than yoga, what are your interests and hobbies?
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I acknowledge that all information submitted in this application is true and I consent that the Polices of Karma Yoga (as outlined on our website) form a part of this application. Thank you for your application!
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