Mentorship Application

*All fields are required.

Contact Info
Name:
Address:
Address:
City:
State:
Zip/Postal Code:
Country:
Best Phone# To Reach You:
Email:
Age Group:
Gender:
Emergency Contact Name:
Emergency Contact Phone:
   

Yoga Background
When did you graduate our 200 Hour Program?
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:
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?
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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