Samskara Yoga & Healing 300-Hour YTT
June 2020 - April 2021
Samskara Yoga & Healing, Dulles 28 Centre (Virtual training approved by Yoga Alliance)
Email address *
Full Name *
Mailing Address *
Phone Number *
Date of Birth *
Current Occupation *
Emergency Contact Name/Number *
How did you hear about our 300-Hour YTT Program? *
Tell us about your current yoga and/or meditation practice (type of yoga/meditation, how often, how long you have been practicing) *
Why are you applying to this YTT program? *
If someone came up to you and asked you why they should begin a yoga practice, what would you tell them? *
Do you plan to teach yoga upon completion of this program, or are you looking to grow your own personal yoga/meditation practice? *
Do you currently hold a 200-hour certificate of completion from a yoga school? If so, which one? *
Are you currently teaching yoga? If so, where and what style(s)? *
Do you have any other types of training related to yoga? Please include program names/types, hours of training, and where you received the training.
Have you discussed participation in a rigorous and physically challenging program like ours with a medical professional? *
Are you able to work within communities that are seeking yoga classes, but may have various obstacles to joining a studio, gym, or other "typical" yoga classes? *
This 300-hour program offers an independent study project that allows students to fully demonstrate mastery of all skills learned in the training. What would you be interested in developing as your personal independent study project (this could change as you move through the training!) *
I understand that I will be interviewed by phone or in person in order to complete this application. I will submit a non-refundable deposit ($500) to hold this spot if I am accepted into the program and my deposit will be credited to my tuition. *
I will pay the balance of the tuition: *
I understand that after Aug 1, 2020, I will not be given a refund for any reason. Prior to that date, I will receive a full refund, minus the $500 non-refundable materials deposit. *
I understand that I am responsible for all additional costs, including books and media specifically related to the 300-hour YTT Training Program *
Are you ready for your phone interview? *
Is there any additional information we need to know before processing your application? *
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