200 Hour Teacher Training Application Student Application for 200 Hour & 100 Hour Programs Thank you for exploring this path and for your connection with Samadhi’s Yoga Training Program. Please take some time to answer the following questions to assist us in our efforts to get to know you better! Personal Information Name* First Last Email* Phone Number* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What is your current occupation?* Which program are you applying for?* 200 Hour Fall Teacher Training200 Hour Spring Teacher Training200 Hour June Intensive Teacher TrainingPrana Vinyasa 200 Hour Teacher Training200 Hour Undecided Dates100 Hour Yoga Immersion Emergency Contact Information Name* First Last Email Phone Number* Relationship to You* About You Please take some time to answer the following questions to assist us in our efforts to get to know you better! Current Age* First, tell us a little about who you are. What are your hobbies and what do you love most about life?* What are some of your strengths?* What are some of your challenges?* About Your Interest Our Program Why are you interested in a Yoga Teacher Training Program?* What do you hope to learn and experience in this program? What are your expectations?* What part of yoga interests you the most?* Are you totally ready to commit the necessary time, energy, and financial resources it takes to successfully complete this training?* About Your Yoga What is your yoga background? How long, what types, where, and with whom have you practiced? Please make your information as specific as possible.* What does your current yoga practice look like?* How has yoga affected your life?* How do you relate to the spiritual dimension of life?* About Your Goals Why do you want to become a certified yoga teacher (if applying to full YTT)?* What are your long term goals in relation to yoga?* What are some additional goals that you have for yourself and your path beyond this training?* About Your Previous Training Please list details of any previous yoga training in which you have participated.* If this doesn’t apply to you, just enter “Does not apply.” Please list any previous yoga teaching experience you have.* If this doesn’t apply to you, just enter “Does not apply.” Please list any additional training, certifications, degrees you have received (i.e. college de-grees, massage, nursing, etc.). Also mention the institutions from which these credentials came.* If this doesn’t apply to you, just enter “Does not apply.” How did you hear about this program?* What else would you like to share with us? Untitled Untitled First ChoiceSecond ChoiceThird Choice Untitled First ChoiceSecond ChoiceThird Choice Untitled First ChoiceSecond ChoiceThird Choice
