I AM Yoga Therapy™ 800HR Application

Name*

First Last

Email*

Phone*

Upload copy of 200 Hour Yoga Teacher Training Certificate*

This is a required prerequisite.

If you took your 200 Hour Yoga Teacher training in a program other than Amrit Yoga you are required to enroll in our online course, the Posture of Consciousness Intensive. You are required to take this course prior to I AM Yoga® Advanced Meditation in Motion training and we suggest you enroll soon after acceptance into the program as it sets a strong foundation for I AM Yoga®. This takes 1-2 months to complete. Click the program name above for more details about the course and to register.

Enrollment Questions

How did you hear about this training?*

Describe your Sadhana (personal practice). Include how long and often you have been practicing yoga.*

What yoga certification trainings have you taken and with which organization(s)?*

How long have you been teaching yoga and where?*

Why do you want to be a professional yoga therapist?*

What do you feel you have to offer as a yoga therapist?*

List any training/s you have taken with the Amrit Yoga Institute and year(s) taken.*

List any training or workshops you have taken in Yoga Therapy.*

List professional certifications you have received (Not already listed above)*

What are your personal learning objectives and goals for the 800 Hour I AM Yoga Therapy™ Professional Training?*

This training takes a minimum of two years, maximum of four years to complete, how many months do you intend on taking to complete it?*

24 Months
25-36 Months
37-48 Months

Our recommended order of taking each Module of the training is listed on our website. What order do you intend on taking each Module in and what year?*

Transferring Credits

Check any program modules you are applying to transfer.

I AM Yoga Nidra™ Professional Training
I AM Yoga Nidra™ Advanced Training
I AM Yoga Therapy™ 100 Hour Training
I AM Yoga® Advanced Training: Meditation in Motion
Integral Breath Therapy Training

Please upload certificates for any of the programs modules you checked above.*

Files must be PDF or JPG and no larger than 10mb.

Drop files here or

Did you take Yoga Nidra Professional Training before 2013?*

Yes, it was before 2013.
No, it was after 2013.

Applicants who graduated from Yoga Nidra Professional Training before 2013 are required to document 100 hrs. of experience with Yoga Nidra

50 or less hours from personal practice or continuing education*

1. Describe personal practice and continuing education
2. Approximate date of continuing education training/ workshops
3. Approximate hours of each

50 or more hours: facilitating in group settings, individual settings, or teaching (workshops, classes, trainings).*

Hours need to total 100 hours. You may have more than 50 hours of facilitating and teaching Yoga Nidra, but not less.

1. List the workshops, classes, trainings, private sessions you facilitated
2. Approximate dates of facilitation
3. Approximate hours of each

Yoga Nidra: describe your personal practice and teaching experience.*

Yoga Nidra Advanced: describe your personal practice and teaching experience.*

Yoga Therapy/Body Psychology: describe your personal practice and teaching experience.*

Meditation in Motion: describe your personal practice and teaching experience.*

Integral Breath Therapy: describe your personal practice and teaching experience.*

Any you planning to take any courses at SWIHA - Southwest Institute for Healing Arts?*

Yes
No

Which of the following courses do you plan to take at SWIHA?

Select All
I AM Yoga Nidra™ Professional Training
I AM Yoga Nidra™ Advanced Training
I AM Yoga Therapy™ 100 Hour Training
Integral Breath Therapy Training (Part 1)

Do you intend on applying transfer credits from a professional school for Anatomy and Physiology?*

Our program allows transfer credits for the following curriculum: Anatomy and Physiology
The course must be taken with a creditable school and apply to IAYT competency 2.1.1* with a minimum of 31 hours studying the following topics: Organization of the body, the skeletal system, the muscular system, hematology, blood vascular system, lymphatic system, respiratory system, nervous system, digestive system, urinary system, endocrine system, female/male reproductive system, integumentary system.
*Competency 2.1.1 Knowledge of human anatomy and physiology, including all major systems of the body and their interrelationships, as relevant to the work of a yoga therapist. You will receive notice of approval or rejection within 30 days of submission of your application.
If Accepted: You will be excused from completing 31-hours of Module 6: Anatomy and Physiology which relates directly to competency 2.1.1 as defined above. You will be required to complete all other portions of Module 6 including Applied Anatomy and Physiology and Basic Psychological Principles for Yoga Professionals.

Yes
No

Name of school you took 31 or more hours of Anatomy and Physiology.*

Was this course completed within 12 years of the date of this application?*

Yes
No

Note, we prefer you have completed this course within 12 years of the date of submission of this application. However, special circumstances may be considered on a case by case basis. Exceptions are most often considered when an individual is a medical health professional who makes regular use of the required material as part of their profession, (eg. You are a nurse or a medical doctor).

If you would like to ask for an exception, please state your case here.*

Short Answer Anatomy Questions*

Please write a clear summary of each of the following systems of the body, including but not limited to : location, structure, function and relationships (the skeletal system, the muscular system, hematology, blood vascular system, lymphatic system, respiratory system, nervous system, digestive system, urinary system, endocrine system, female/male reproductive system, integumentary system). This helps us determine if what you have learned in your course matches the learning objectives of our course.

Please attach proof of completion of this course.*

PDF or JPG files only. 10MB size limit.

Health Information

Are you under the care of a physician and if so for what condition?*

Are there any physical, mental or emotional conditions that would prevent you from participating fully in this training?*

Describe any current or recent physical and/or emotional issues.*

If under the care of a case worker or mental health professional please provide their name and telephone number.

Do you experience pain or chronic pain anywhere in your body? If so, where?*

Please describe your overall health:*

Non-Discrimination Policy

The Amrit Yoga Institute follows all applicable federal and state laws and regulations and does not discriminate based on race, color, religion, sex or sexual preference, ethnic origin, or disability.

Agreement & Signature

By submitting this form I acknowledge:*

All information I have provided in this application is true and complete.
I agree to all policies of the 800 Hour I AM Yoga Therapy™ Professional Training.
I understand that I will be voluntarily participating in this trip and/or event, including yoga classes and other physical activities at my own risk.
I take full responsibility for my own actions and will not hold the Amrit Yoga Institute or any of its staff liable for any injuries from my participation.
I have read, understand and agree to the student code of conduct policy.

By signing below, I acknowledge the following:*

I acknowledge I have filled out this application honestly. I have read the cancellation and leave of absence or extension policy and understand both. I understand all payments must be made in full before receipt of certificate of completion. I understand I must complete all the required training and home study to the approval of my teachers and mentors in order to receive a certificate of completion.

Date*

Time*

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Phone

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800 Hour I AM Yoga Therapy™

Professional Training Application

Thank you for submitting your application payment! You are almost there but don’t stop yet!

You must fill out this form completely in order to be considered for approval.

Enrollment Questions

Transferring Credits

Health Information

Non-Discrimination Policy

Agreement & Signature