200-Hour Teacher Training Certification Application
Name:____________________________________________________
Address:__________________________________________________________
Phone Number (s):__________________________________________________
Email:____________________________________________________________
Date of Birth:______________________________________________________
Please answer the following ….
- Why do you want to be a yoga teacher?
- How long (if applicable) have you been practicing yoga?
- In your own words, what is yoga?
- What is it that drew you this direction? A teacher, workshop, book, inner calling….
- Tell me about your yoga practice, please include public classes, personal practice, pranayama (breath control) and meditation, if applicable.
- Are you currently teaching yoga? If yes, please give the details.
- Do you have any yoga certifications? If so, please give the details of the certification, what type, how many hours…
- What is you occupation?
- What do you like to do in your spare time?
- What do plan to do upon completion of this program?
- Tell me you expectations of this program.
Please send in with your $ 500 deposit.
Signature:______________________________________
Date:__________________________________________
Submit to: Karen Moss, 66 E. Waterbury Dr. Springboro OH 45066
kmoss@woh.rr.com www.leelaayoga.org 937-477-2241
Click here to print out application to send in.
