Advanced Studies Application
This application is to provide us with an insight into who you are and why you are interested in studying with us. But, we also hope that it will help you to clarify for yourself what your goals and expectations might be.

If you have any questions regarding the application, any part of the program, or workshops, please feel free to contact us. We are happy to assist you, and answer any questions you might have.
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Email *
Name *
Yoga and body-mind experience
1.Tell us about your Yoga background?(who have been your primary teachers, do you have a regular practice, are you a yoga teacher…) *
2. What experience have you had with Yoga Therapeutics?(as a student or teacher) *
3. What other body-mind disciplines do you practice or have you practiced? (i.e. movement, bodywork, Western or Eastern healing techniques, martial arts, meditation) *
4. Have your Yoga and or other body-mind disciplines been casual, serious, amateur, semi - professional or professional? *
5. Do you have a medical background?(i.e. MD, PT, OT etc) *
Why this course or workshops
1. How did you hear about us? *
2. What drew you to this program? *
3. What are your expectations? *
4. Are you interested in attending 1, 2, or 3 modules, or individual workshops? *
5. Do you have any physical or emotional conditions, illnesses, injuries, learning differences, that might need to be taken into consideration for you to participate in any part of this program? *
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