Yoga Teacher Training

First Name*

Last Name*

Preferred Name

Date of Birth*

Email Address*

Phone

Please list all relevant yoga teacher training programs you have completed below. Include the following: program name, number of hours in the program location, lead instructor, date of completion (example: Lotus Flower Teacher Training, 200hr, Lotus Flower Yoga Collective, September 2015, Julie Schlemmer)*

How many years have you practiced yoga?* How many years have you practiced yoga?*Less than one year1-3 Years3-5 YearsOver 5 Years

How many days a week do you attend class?* How many days a week do you attend class?*Once a week2-3 times per week3-5 times a weekEvery Day!

What styles of yoga have you explored?* What styles of yoga have you explored?* Hatha Vinyasa Ashtanga Iyengar Bikram Forrest Kripalu Kundalini Anusara Yin Shiva Other

Briefly describe any experience you have with practices beyond the poses (meditation, breath- work, living the philosophy, other esoteric practices)*

Why do you want to participate in Lotus Flower advanced teacher training?*

What would you like to get out of the training? Be as specific as possible.*

What are your strengths as a teacher? *

In what areas would you like to grow as a teacher? *

Please describe the current state of your mental and physical health as it pertains to teacher training. Is there anything vital for us to know about your medical history? *

Yoga teacher training is extremely rewarding but can also be physically and mentally challenging. It is helpful for our instructors to know about any physical limitations, persistent injuries, pregnancy, learning disabilities or anything else that might impact your participation in training.

Date of Application