Triad Yoga Institute’s 300hr Teacher Certification Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMobile PhoneHome PhoneEmergency ContactEmergency Contact PhoneSignature Clear Signature DateSection AYOGA TEACHERS: Please use the open spaces provided after each question to provide your information. If you are not a Yoga Teacher proceed to Section B.Are you registered with Yoga Alliance?YesNoWhen did you register with Yoga Alliance?At what level are you registered?From which School or Teacher did you originally receive a Certificate of Completion for Teacher Training? Give full name and contact info such as address, phone, and email. If more than one school, please list all programs. Triad amount injuries, If you are not registered with YA, please list your teacher training experience and a contact School or Teacher to verify your training.Section BYOGA STUDIES EXPERIENCE: All applicants should complete this section.How many years have you studied and practiced Yoga?Please list the distinct styles of Yoga you have studied and for how long. ( Example : Ashtanga / 5 yrs.) Who is / are your most influential teacher(s)?Do you attend regular weekly yoga classes or semi-regular yoga workshops? Please describe your current studies.Section CYOGA PRACTICE INFORMATION: In the spaces below, tell me a bit about your current yoga practices:Asana Vinyasa / FlowStanding PosesInversionsBack BendsArm BalancesSitting PosesSupine / AbdominalsRestoratives / Therapeutic SequencesPranayama (Reclining or Sitting)List any of the pranayamas that you practice.Meditation If you have a meditation practice, give a brief descriptionSvadyayaReading significant books about yoga and related disciplines is an important practice. What books, if any, have you read in the past year related to yoga, philosophy, or inspirational? If you haven’t read any in the past year, that is okay. List any books that have inspired you.Section DPlease list all injuries, illnesses, or chronic conditions you have now or had recently which definitely must be considered in your practices and studies.Section EIn the questions that follow, please express yourself freely in the space provided.What inspired you to begin your Yoga studies?How has the study and practice of Yoga transformed your life so far?Now that you have completed this application, we ask that you initial the following policies as a way to verify that you know about them and comply with them.In order to receive a Certificate of Completion for Triad Yoga’s 300 Hour Teacher Certification Program, participants must complete all modules and workshops, and 5 day intensives. *In order to receive further documentation of Triad Yoga’s 300 Hour Teacher Certification Program, the candidate must pass a separate teaching assessment session in the presence the director and another RYT 500 Instructor. *Each participant is responsible for his / her physical and emotional safety by getting proper medical treatment for any conditions that might arise while participating in the Triad Yoga’s 300 Hour Teacher Certification Program. *If a participant registers and pays for a module but cannot attend, we require notification at least 24 hours before the module is set to begin. We can either agree to forward your payment to the next module or, instead, send a check for the amount paid minus $50, our cancellation fee. *Your Name *Your Signature * Clear Signature Today's Date *Please make a copy of this application for your records. With your application, submit payment of the $50 application fee below: Name, card number, amount ($50.00) Please feel free to contact us if you have any questions regarding the completion of your application. We look forward to reviewing your application and getting to know you! Submit