Application - Adaptive Yoga Teacher Training - 2025 | Integral Yoga Institute

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Personal Information

Name*

First Preferred Name in Class (Nickname, Spiritual name) Last Pronouns

Email*

Phone*

Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

My Home and Mailing addresses are the same*

Yes

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Would you like to receive a printed hard copy of your training manual?*

Yes!

No thanks, I'm good with using a digital PDF manual.

Date of Birth*

MM slash DD slash YYYY

Occupation*

Interests, skills, hobbies...*

How did you find out about this program? Check all that apply.*

IYI Website

IYI Newsletter

Facebook

Instagram

Internet Search

Yoga Alliance

Yogaville

IYI San Francisco

Integral Yoga Teachers Association (IYTA)

Other

Your Yoga Experience

When and where did you complete your 200-hour yoga teacher training?*

Who were your primary instructors?*

What other yoga training experience have you had?*

Are you following the yogic lifestyle guidelines?*

Are you currently an active teacher at IYINY?*

Yes, I teach a regular weekly class or sub at least two classes per month.

I'm not sure or my teacher status is inactive, I sub once in a while but not on a regular basis.

No, I'm not an active teacher at IYINY.

Are you a current member of the Integral Yoga Teachers Association?*

Yes

Health and Safety Information

Do you have any injury, illness, physical or mental health conditions that may impact your participation in the training?*

Yes

Please describe how it may impact your participation in the training.*

Are there any other issues or concerns that you would like the instructors to be aware of?*

Yes

Please share issues or concerns.*

Emergency Contact Information

Emergency Contact Name*

First Last

Emergency Contact Methods*

Phone

Phone & Email

Emergency Contact Phone*

Emergency Contact Email*

Scholarships

Apply for Scholarship

Partial scholarships may be offered when funding is available. The intention of these scholarships is to facilitate access to training for those who hold marginalized identities and those experiencing significant financial hardship. Before applying for a scholarship we kindly ask you to consider, if neither of these qualifications applies to you, choosing the payment plan option as an alternative. Scholarship possibilities will be discussed during the admission interview after we receive your application.

I would like to be considered for a scholarship.

What scholarship are you applying for?

BIPOC

LGBTQ+

Financial Aid

Other

Please tell us anything about yourself that you would like us to take into consideration for your scholarship application. Include details about how this program would support you personally and how you see yourself sharing what you've learned with the community.

Scholarships may cover up to 50% of the total tuition cost, and are dependent upon available funding. Will you be able to cover the balance of your tuition? Please use this space to address any financial concerns about meeting the cost of tuition.

I would like to contribute to the scholarship fund...

Please send me more information about how I can make a donation.

Agreements

Tuition Policy*

Tuition payment is due upon acceptance to the program in order to complete your enrollment.
Full payment is due before the training begins or you must be actively enrolled in the payment plan.
Non-payment of tuition will result in canceled registration from the course.
A non-refundable administrative fee of $100 is included in tuition pricing.

• $1500 Regular Tuition, paid in full by August 29.
• $1525 Payment Plan, $275 deposit due August 29.

Discounts Available:

• $1300 Early Bird Tuition, paid in full by August 1.
• $1275 for Current IYTA Members.
• $1200 for Active IYINY Teachers.

Directions to complete registration with your tuition payment will be emailed to you after your application has been reviewed.

Refund Policy:
Tuition is refundable, minus the non-refundable $100 administrative fee, up to one week before the training begins. For cancellations received less than one week before, or after the training begins, tuition is non-refundable. All credits and returns are at the discretion of IYINY.

I have read and agree to the tuition policy.

Payment Plan*

A payment plan option is available to pay tuition in installments over the course of the training. An initial deposit is required before the training begins to enroll in the payment plan, and includes a nominal $25 administrative fee.
Please note: Complete payment of tuition is a requirement for graduation and certification. Late payments are given a one-week grace period. Excessively late payments may result in the student being asked to discontinue coming to class until the balance due is resolved. If you experience unexpected financial difficulty during the training, please contact the administrator to discuss your options.

Yes. I acknowledge the terms of the payment plan and wish to enroll.

I prefer to pay the balance of tuition before the training begins.

Admission and Continuation Policy*

Acceptance into the training program is not guaranteed, and is conditional upon the applicant meeting the basic requirements as stated in the training prerequisites. A completed application form and deposit are required for acceptance. Tuition must be paid in full before the training begins, or the student must be actively enrolled in a payment plan.

If an applicant is not accepted into the program, tuition will be refunded. If the student decides to withdraw their application before the training begins, the administrative deposit fee is non-refundable. Any balance paid beyond the deposit amount will be returned. Withdrawals less than one week before the program start date are not eligible for refund, but a credit for future training may be issued.

After the training begins, any refund of tuition is contingent upon several factors including but not limited to: length of time in the program, reason for withdrawal or dismissal, return of training materials, intention to complete the training at a later date. Applicants acknowledge that refunds after the training begins are not guaranteed, and will be issued in accordance with the Admission and Continuation Policy.

I agree to the Admission and Continuation Policy

Photo and Video Release*

I acknowledge that by participating in an online program I may appear in photos or video recordings of the training. I grant to Integral Yoga Institute of New York and its representatives the right to take photographs/video/recordings of me and my property. I authorize Integral Yoga Institute, its assigns and transferees to copyright, use and publish the same in print and/or electronically.

I agree to the Photo and Video Release

General Enrollment Agreement

I wish to apply as a Teacher Trainee, and I agree to assume full responsibility for any injuries to me that may occur during the training. I am in good health, and any physical illnesses or ailments are clearly stated above. I have read and agree to abide by the policies for admission and continuation of the training program. I acknowledge agreement to fulfill all my teacher training requirements to meet Integral Yoga Institute and Yoga Alliance standards in order to receive my certification. I further acknowledge that Integral Yoga Institute reserves the right to withhold certification should my efforts not meet its requirements and standards.

I agree to the terms of the General Enrollment Agreement

Application – Adaptive Yoga Teacher Training – 2025

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