200 HR Somatic Embodiment Yoga Teacher Training Application

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Personal Info

First Name

Last Name

Pronouns

Date of Birth (MM/DD/YYYY)

Gender

Occupation

Contact Info

Mobile Phone

Address

City

Country

Province / State

Postal / Zip Code

Emergency Contact

Emergency Phone

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Tax Reimbursement Information for Canadian Applicants

Please provide your Sin # below. (Canadian applicants only. Residents of other countries please right N/A.)

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Do you give us permission to provide a digital T2202a form for tax reimbursement purposes?

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Tuition and Scholarship Information

Tuition for this training is $3333 CAD + GST, however, we make available a limited number of scholarships to ensure that our training is accessible to all. Please choose from the drop down menu the tuition option that you need at this time.

Please only answer if you would like to be selected for the Tier One or Two Scholarship. Tell us a little about your story and how this would help you.

Other

Tell us about yourself. Why are you applying to this program?

What would you hope to gain by participating in this program? In what ways do you hope to grow as an individual?

In what ways would you contribute to our intentions of supporting community, connection, and co-regulation?

Do you have any previous experience or training in yoga, somatic based practices, or any other healing modalities?

Will your participation in this program be professional, personal, or both? If professional, what do you hope to do with your certification post-graduation?

We wish to create a learning environment that is respectful of your trauma history and individual learning needs. Is there anything you would like us to know?

Our programs are offered in a hybrid format that combines in-person, live online, and asynchronous learning. Are you comfortable with this format and do you have a solid internet connection and dependable devices for completing your coursework?

Do you understand that this program requires attendance at a 5 day in-person immersion? Are you able to make the appropriate travel plans to attend?

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In this program there will be times when other participants share vulnerable information. Our policy is to only reflect back when someone shares, and to not give advice. Are you able to abide by this policy?

We have a rich and diverse student body. At times you will be asked to navigate difficult conversations. Do you believe yourself to be capable of doing the work required to stay present, listen, practice kindness, and not walk away?

In lieu of a safe place, what we offer to our students is a place where you are invited to be messy, and encouraged to be raw, vulnerable, and present. Are you at a time in your life where you feel ready for an environment like this?

Do you have a support system in place in the form of therapists, friends, family members, and/or self-care practices? How can we support you in the event that you are triggered?

Do you have any health concerns that you would like us to be aware of ?

After receipt of your application, we will respond within 2 weeks time to arrange your student interview and to request one reference letter. Do you understand that we can only accept a limited number of students into the program?

Review & Agree

TUITION AGREEMENT AND REFUND POLICY (Review Required)