Mentorship Application

*All fields are required.

Contact Info

Zip/Postal Code:
Best Phone# To Reach You:
Age Group:
Emergency Contact Name:
Emergency Contact Phone:

Yoga Background

Name of 200 hour training school and graduation date:
What do you feel your main strengths as a teacher are?
What areas of your teaching would you most like to work on?
Please tell us your first, second and third choice of teaching mentor:
We will try our best to match you with one of your first 3 choices, but due to scheduling challenges we may have to connect you with
a different teacher.
Why are you drawn to these individuals as mentors?
Do you have a regular daily practice? If so please describe it:
Please tell us about your health: injuries, conditions, illnesses or anything else that
might impact you, your practice and prepration to teach:
So how is your mindset lately?
What are your expectations for this apprenticeship?
What do you hope to learn/work on?
Additional comments:
Credit Card Number:
Expiration Date:
 I acknowledge the $1200 tuition fee for the mentorship program and that all payments are non-refundable.


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