Application Form
Zuna Yoga Teacher Training - Ubud Bali
To which yoga teacher training are you applying? *
Promo code
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First Name *
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Last Name *
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Street Address *
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City *
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State / Province *
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Zip Code *
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Country *
Email *
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Telephone
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Nationality (country issuing your passport) *
Facebook user name
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Instagram user name
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Birthdate *
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Gender *
Roommate preference *
Yoga Experience
How long have you been practicing yoga? *
How many days per week on average do you practice yoga? *
On average, how long is your practice? *
What style(s) of yoga do you primarily practice? *
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Meditation Experience
Do you have a regular meditation practice? *
What types of meditation have you practiced and for how long ? *
Please elaborate
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If you wish to provide more details of your meditation practise, please fill the box below
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Education
Have you received a high school diploma or GED? *
What is your highest level of qualification (please tick the most relevant box for your country)? *
Please provide us with more details about your level of education:
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Please list schools attended, dates, and degrees obtained:
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Do you have a body centred training (e.g., massage therapy, dance, Pilates)? *
If you answered yes, please explain:
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Work History
Current occupation: *
Please explain:
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Professional Role: *
Industry of professional or studies: *
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Number of years in profession: *
Previous occupation (if not applicable, please fill in with NA)
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Number of years (if not applicable , please fill in with NA)
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Any other occupation information you wish to provide?
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Language
Are you fluent in English? *
If no, please describe your level of proficiency: (Please note Zuna Yoga Teacher Training requires each student be able to comprehend and to respond with written and oral communication in English.)
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Health Information
Are you under medical treatment for any physical condition? *
Are you currently pregnant or trying to get pregnant? *
Do you have any chronic pain, physical limitations, or disabilities? *
Have you had a serious illness or major surgery within the last five years? *
Do you have a communicable disease? *
Are you under medical treatment for any psychiatric condition? *
Have you ever been hospitalized for any psychiatric condition? *
Are you in recovery for an addiction? *
Have you ever been in a treatment program for alcohol or substance abuse? *
If you answered yes to any of the above, please describe fully.
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Do you currently have, or ever had, any of the following conditions?
Environmental or food allergies *
Respiratory conditions *
Heart conditions *
Diagnosed mental-health conditions *
Seizures or strokes *
Chemical sensitivities *
Diabetes *
High blood pressure *
Injuries *
If you answered yes to any of the above, or if you have any other health condition that could impact your full participation in the program, please describe fully.
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Please list any prescription medications you are currently taking, indicating dosage and frequency of intake, and what symptoms/conditions require the medication—excluding birth control and cosmetic prescriptions.
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Please list all dietary restrictions including dairy, eggs, fish, meat. Please specify if you are vegetarian or vegan.
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Emergency Contact
Name: *
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Relationship to You: *
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E-mail: *
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Phone Number: *
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Please answer the following questions:
1. Please provide a description of your typical yoga practice, including examples of postures you practice during a typical session. *
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2. Besides yoga, please list any other types of physical activity you typically engage in and how often (e.g., running—3 times a week; dancing—once a week.) *
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3. Why do you want to be certified as a yoga teacher at this time in your life? *
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4. What do you know about Zuna Yoga? Why have you chosen to become a Zuna Yoga teacher? *
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5. How do you plan to apply your yoga skills to your life and work? *
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6. For 200 Hr applicants: What teaching/leadership skills do you currently embody that would support your future work as a yoga teacher?
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7. For 300 hour applicants: What are your greatest strengths as a yoga teacher? What skills are you hoping to improve by attending this training?
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For 300 hour teacher training applicants only:
Please provide your 200 hour RYT Teacher Training Certification information
Certifying School
The Yoga Alliance certified schoool from which you have a certificate
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City & State
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Country
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Date of Completion
Date on certificate
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Name of Yoga Alliance ERYT teacher who signed the certificate
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Contact phone number for certifying yoga school
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How did you hear about us?
How did you first hear about Zuna Yoga Teacher Training? (you can select more than one) *
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If you were referred by a Zuna Yoga teacher or graduate from one of our programs, please indicate the teacher and/or graduate’s name.
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In order to help us determine where to best advertise our programs, please indicate what print and/or online yoga wellness publications you read frequently: *
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All applicants: Please complete your application by submitting a recent photo of yourself via email to grow@zunayoga.com. The photo should be a clear headshot (no sunglasses). 300 YTT applicants: Please also email us your 200 hour yoga teacher training certificate. Thank you *
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Submit your application
I acknowledge that all information submitted in this application is true and accurate to the best of my knowledge. I understand that incomplete or inaccurate information may result in my non-acceptance or dismissal from the program. I acknowledge that I have read the certification criteria listed above and online at www.zunayoga.com. I understand that should I be accepted to attend the Zuna Yoga teacher training, I will be evaluated using these criteria. I accept by entering a date below and submitting this form that this validates my application with an electronic signature. *
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