Name
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First Name
Last Name
Email
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Phone
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Instagram Handle
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Age
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City & Country
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What training are you applying for ?
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Therapeutic Ayurveda (South Dakota October 2022)
Conscious Alignment (Costa Rica October 2022)
Human Journey (Costa Rica October 2022)
What is your current employment?
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Are you a licensed physical or mental health care professional?
How would you evaluate your current health?
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Poor
Good
Excellent
Do you have a diagnosed mental and/or physical health condition?
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Yes
No
If you answered "yes" above, please describe and list any medications you're taking. *
How long have you been practicing yoga?
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What style(s) of yoga do you practice?
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Are you currently teaching yoga? For how long, how often and what style?
If yes, what do you consider your strengths and challenges as a teacher?
Have you completed any other yoga teacher trainings? If yes, when and with whom?
Describe yourself in 5 words
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What is the most powerful learning experience you have had? What made it so?
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What is your greatest gift you have to offer the world?
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Do you live and practice your yoga off the mat? If yes, how so?
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Have you attended any yoga trainings, retreats, classes or workshops with Kevin or Serena? If yes, when?
Have you attended any non yoga, personal devolopment/personal growth courses, trainings or workshop?
What is your experience with Ayurveda?
What is your intention for taking this training?
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What do you hope to gain, learn and work on?
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On a scale of 1-5 (1 low, 5 high), how would you rate your willingness to really be a student (hear and implement feedback, open to learning something new, trust the process, etc)?
1
2
3
4
5
Why Swastha Yoga? (curriculum, website, dates, location, pricepoint, teachers, referral etc...)
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How did you hear about this training?
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First and Last name of Swastha Alumni who referred you (if applicable)
In order to complete your application, we also request that all applicants submit a recent picture of yourself. Advanced Training applicants, please also submit a picture of your 200 hour YTT certificate.
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