Sundara Yoga Therapy TIYT Application
Name (first & last name)
Mailing Address (street)
City, State and Zip Code (please fill out your complete address including zip code)
Please choose the Training or Element you are applying for:
EARTH & WATER ELEMENT - if prerequisites are met and registering/paying for both.
EARTH ELEMENT ONLY - if registering/paying for Elements separately OR seeking level 1 certification only.
WATER ELEMENT ONLY (must have completed EARTH) - please fill in city/dates in next section.
If applying for Water Element-only, when & where did you complete Earth Element? (city/dates)
Location (Earth and/or Water)
Austin, TX (WATER ONLY Feb 21-23, 2020)
Houston, TX (Earth: May 1-3, 2020; Water: October 2-4, 2020)
Chicago, IL (Earth: May 22-24, 2020; Water TBA 2021*)
Wichita, KS (Earth: June 4-7, 2020; Water: October 15-18, 2020)
Denver, CO (Earth: June 15-18, 2020 and/or Water: Jun 18-21, 2020)
Asheville, NC (Earth: July 16-18, 2020; Water: Oct 8-11, 2020)
Seattle, Washington (Earth: July 31-Aug 2, 2020 and/or Water: Sept 25-27)
Oklahoma City, OK (Earth: Sept 18-20, 2020; Water: May 7-9, 2021*)
Ankeny, IA (Earth: Sept 24-27, 2020; Water: June 2021*)
Eugene, OR (Earth: Oct 23-25, 2020; Water Feb 19-21, 2021*)
Phoenix, AZ (Earth: Nov 6-8, 2020; Feb 5-7, 2021)
Tulsa, OK (Earth: March 26-28, 2021*; Water: TBD Fall 2021)
Williamsburg, VA (March 2021*)
Tell us about your experience/background and/or professional credentials
How many years have you been practicing Yoga?
How many years have you been teaching Yoga? Roughly how many hours have you taught? (if you are not a Yoga teacher put "N/A")
Are you a licensed Mental Health or Medical Professional?
I am a certified Yoga Teacher (Non-Yoga Alliance)
I am a registered Yoga Teacher (Yoga Alliance)
I am a certified Yoga Therapist (C-IAYT) through International Assoc. of Yoga Therapists
I am a licensed Mental Health professional (SW, PC, MFT, PsycD, etc)
I am a licensed Allied Health professional (L.Ac., PT, OT, LMT, etc.)
I am a licensed Medical professional (DO, DC, MD, RN, PA, LPN, etc)
Tell us a little bit about your goals and how this training may serve you - please be brief :-)
How did you hear about this training? Please be specific
Please read the note below and check off to confirm you understand. If you have any questions, please call us.
I have read the above statement and I understand it; I am confirming that I am far enough on my journey to participate as a student.
We cannot make exceptions to the prerequisites regardless of how much experience and/or training you have. Level II builds on Level I. TIYT Methodology is unique; Level I is the first half, and Level II is the second half of the TIYT methodology training.
I read the above statement and I understand that everyone (MD, PsyD, LMSW, ERYT, CIAYT, etc) must attend Level I before attending Level II.
A copy of your responses will be emailed to the address you provided.
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