200 Hour Yoga Teacher Training Application Alexandria, VA 22314

Application for Refresh Teacher Training

25%

Name*
First Last
Phone*
Date of Birth
Date Format: MM slash DD slash YYYY
Email*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency Contact
First Last
Emergency Contact Phone
Relationship

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How long have you been practicing asana? What is your experience with yoga practice?*
Do you currently practice at Refresh?
- Yes
- No
Is this your first teacher training?
- Yes
- No
If the answer is No, please list other training programs completed, along with the number of hours & dates.

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Please describe why you want to take this particular training. What skills are you looking to gain from our teacher training program?*
Current occupation
Do you have any teaching/training experience? (Not with yoga - for example, do you lead trainings in your workplace? Have you taught math as a tutor? Are you the one at work that teaches everyone how to do the new thing?) If yes, please describe.*
What skills do you have that are most transferable to the craft of teaching yoga?*

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How are you working in team settings? Please be honest.*
Are you currently teaching yoga?*
- Yes
- No
Do you want to teach yoga?*
- Yes
- No
- Not sure
Are you able to commit to the schedule? Please describe any conflicts you foresee.*
Do you have any physical limitations that may interfere with your ability to complete training?*
Please let us know about any medical conditions or injuries that may affect your yoga practice. Please know that all information is shared in confidence.*
Name
This field is for validation purposes and should be left unchanged.

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200 Hour Yoga Teacher Training Applicant Questionnaire