Teacher Training Application GENERAL INFORMATIONFirst & Last Name* Nickname: (if applicable)* Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home PhoneCell Phone*Email* Gender Female Male Date of Birth* Month Day Year Emergency ContactFirst & Last Name* Phone*YOGA PRACTICE AND EXPERIENCEShare About Yourself*Please tell about your background, education, and personal journey that makes you unique.Share About Your Yoga Practice*How long have you been practicing? Who have been your most influential teachers and why? List any trainings, intensives, or retreats attended and why? What style(s) of yoga do you practice?Share Why You Want To Enroll*Why do you want to be a certified yoga teacher? What interests you about The Abundant Yoga School Program?Share What Yoga Is To You*What does yoga mean to you? Describe how your life has been impacted by practicing yoga.Share What Yoga Is To You*What does yoga mean to you? Describe how your life has been impacted by practicing yoga.Are you currently teaching yoga?* Yes No If so, how long, where, and what style of yoga do you teach?TEACHER TRAININGLearning & Expectations*What do you hope to gain and/or learn from this training? What are your expectations?Your Commitment*Please explain your ability & willingness to be fully committed/attend 100% of the training.PERSONAL INFORMATIONInterests & Hobbies*Tell us about your hobbies, interests, other exercise practices, community service, etc.Other Information*Anything else you would like us to know about you? Any other questions, comments, or concerns?Physical Health*How would you rate your current health?ExcellentGoodFairPoorPlease explain the reason for your answer*PHYSICIAN CAREDoctor/Health Care Professional*Are you currently, or have you been during the last two years, under the care of a physician or other health care professional?NoYesIf yes, for what reason?Physician's Name Physician's PhonePhysician's Email TERMS OF AGREEMENTSubmission of Information*By submitting this form, I certify that my answers on this application are honest and factual to the best of my knowledge. I Agree SECURITY VERIFICATIONPlease enter the two digits below:* 12
