IYT-Cleveland Teacher Training Application
Starting September 6-8, 2019 and completing May 2-3, 2020

This application is for Integrative Yoga Therapy's 200-hour Therapeutic Yoga Teacher Training Program. Please read IYT-Cleveland's "Program Information & Policies" (available on our website) first, then enter the requested information and submit your $250 non-refundable deposit through the link provided below to complete your application.

Email address *
Name *
Your answer
Date of Birth *
Your answer
Occupation *
Your answer
Mailing Address *
Your answer
Contact Phone Number *
Your answer
How long have you been practicing Yoga? *
Yoga practice can take many shapes and forms. How do you define Yoga practice? What would you say is the value of practice? Do you have a current practice? What does it look like? If you are a 200-hour RYT or fitness yoga instructor, please tell us about your training and send a copy of your certificate to iyt.cleveland@gmail.com. *
Your answer
Do you have any physical health concerns? If yes, please describe. *
Your answer
Do you have any emotional or psychological health issues? If yes, please describe. *
Your answer
Are you taking any medications for the above concerns or other conditions? If yes, please list. *
Your answer
What is your personal intention for taking this teacher training? *
Your answer
What is your professional intention for taking this teacher training? *
Your answer
What is your background or interest in mind-body health and healing? *
Your answer
This program requires time for practice, teaching, reading, and study of material. What is your plan for finding balance in your work, recreation, and family life while in the program? *
Your answer
Please provide two references with contact emails and/or phone numbers. *
Your answer
How did you hear about this training? *
Required
I have read and agree to IYT-Cleveland's "Program Information & Policies". I assert that I have answered the above questions accurately and completely. I understand that once this form is submitted, I will receive a link to process my NON-REFUNDABLE application fee of $250 via PayPal to Dharma Kshetra Yoga, LLC. My application will only be considered after this payment is made. I understand that application does not guarantee admission to the program, and that if I am accepted, this application fee will be applied to the total program fee. *
Required
We are excited that you have chosen this program to deepen your knowledge in Yoga and bring its therapeutic benefits to others. Namaste!
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A copy of your responses will be emailed to the address you provided.
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