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Application for 200-hour Teacher Training Fall Session

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Application - 200-Hour Teacher Training Fall Session 2022

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Step 1 of 3

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Personal Information

Name*
Home Address*
My Home and Mailing addresses are the same*
Mailing Address*
How did you find out about this program? Check all that apply.*

Your Yoga Experience

Have you taken at least 3 (or more) classes with Integral Yoga?*
Have practiced other styles of Yoga?*
Do you practice meditation?*
Have you been involved in any capacity with Integral Yoga or with Satchidananda Ashram? Have you taken any Integral Yoga retreats, workshops, or other programs?*
Have you ever served as a Karma Yoga volunteer for Integral Yoga?*
Please briefly describe your personal and occupational background, as well as the spiritual background that may have influenced you to apply for Integral Yoga Teacher Training. Please indicate your special talents and skills, and anything else that you would like us to know.

Health and Safety Information

Do you have any injury, illness, physical or mental health conditions that may impact your participation in the training?*
Are there any other issues or concerns that you would like the instructors to be aware of?*

Emergency Contact Information

Emergency Contact Name*
Emergency Contact Methods*

References

Please provide us with two references we may contact. The references you provide should be professional (e.g. supervisors, employers, co-workers, teachers, etc.) not family members or friends.
Reference 1 - Name*
Reference 2 - Name*

Scholarships

Apply for BIPOC or LGBTQ+ Scholarship
Which Scholarship are you applying for?*

Tuition

Tuition Policys*
TUITION
Tuition includes a non-refundable deposit of $250 to reserve your space within the training. Applications must be accompanied by a tuition payment of at least the minimum deposit amount. Applications will be considered incomplete until this payment is received.

Upon acceptance into the program, the balance of tuition will be due.
• Early Bird Tuition for applications is $2,750.
• Full Price Tuition for applications after the early bird deadline is $2,975.
Select payment method for application deposit:
After submitting this application send your $250 application fee via PayPal to gopala@iyiny.org.
Please include your name and the Training you are applying for with your payment
After submitting this application send your $250 application fee via Zelle to gopala@iyiny.org.
Please include your name and the Training you are applying for with your payment
After submitting this application,
- Make check for $250 out to:
Integral Yoga Institute Inc.
- Send To:
ATTN: Treasury
227 West 13th Street.
New York, NY 10011
Payment Plan*
Tuition payment in full is due before the training begins. A payment plan option is available to continue payments over the course of the training, with a nominal administrative fee to enroll in the payment plan. On the payment plan, your tuition will be divided into equal installments.

Summer Intensive Session - Payment Plan = 2 installments, first payment due upon registration and second payment due 30 days after. Fall Session - Payment Plan = 4 installments, first payment due upon registration, subsequent payments following in monthly intervals.

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.
Admission and Continuation Policy*
Please read the full Admission, Probation, and Continuation Policy provided on our website. 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, deposit, and admission interview are required to be considered for acceptance. During the interview, the trainers and applicant together will assess whether the training is the appropriate program for the individual, if it is the right time for participation, and whether successful completion can be expected. If an applicant is not accepted into the program, $200 of the deposit will be refunded.

After the training begins, any refund of tuition is contingent upon several factors including: 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 as stated on the website.
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.
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.

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(212) 929-0585

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info@iyiny.org

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11:00 a.m. – 6:30 p.m.

Friday
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Accessibility at Integral Yoga

  1. All four Yoga classrooms and the elevator at Integral Yoga Institute are wheelchair and scooter accessible.
  2. Service dogs assisting disabled persons are welcome.
  3. The third floor restroom is an all-gender accessible facility.

Please send any questions to info@iyiny.org

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