2022 BIPOC 200-Hour BASIC YOGA TEACHER TRAINING

REQUIRED FIELDS*

Please specify which Module(s) you are applying for:*

First Name*

Last Name*

Chosen Pronouns

she/her/hers
he/him/his
they/them/theirs

Email*

Phone*

Age

Date of Birth*

Street Address*

City*

State*

Zip*

Occupation*

How did you hear about this training?**

Which center in Europe?

Demographic Information

The questions in this section are voluntary and allow Integral Yoga San Francisco to monitor and understand to what extent we are succeeding in reaching a diverse community.

Latinx

Yes
No

Race

On the LGBTQI or Same-Gender Loving spectrum

Yes
No

Practice & Lifestyle

Do you practice meditation regularly?*

If so, since when and describe your practice?

Do you practice Yoga asana regularly?*

If so, since when and describe your practice?

Please describe your experience with Integral Yoga:*

What other styles/traditions of Yoga have you practiced/studied?:*

Do you smoke, drink, use recreational drugs, or have other addictive behaviors?

Yes
No

It is thought that these behaviors interfere with the Yoga practices. Are you willing to work on letting them go?

Yes
No

Essay Question:

Please describe, in detail, those factors in your personal and spiritual background that have led you to apply for this program. Please indicate how you intend to use the knowledge gained here. Include any other information that you think might be useful.*

Health & Diet Information:

Are you vegetarian?*

Yes
No

Have you ever had, or do you currently have, any serious injury, illness, or disability? If so, please describe and include anything you feel we need to know that will impact your ability to participate in this training*

Do you have a history of depression or other psychological disorder? If so, please describe:*

Are you taking any medications that may impact your ability to participate fully in this program? If so, please list all conditions and their respective medications.

Do you have any concerns about your physical or mental health that may impact your participation in this program?*

Yes
No

In case of emergency, please notify:*

All information is requested in order to serve both you and the Integral Yoga community better. Responses will be kept confidential.

Financial Investment

We acknowledge that accessibility is one of the obstacles that perpetuate systemic racism, therefore, we utilize a sliding scale fee structure that meets students where they are financially. Those with ample resources or access to resources are invited to pay at the higher end of the range to help support and sustain financially accessible training. Students have the option to pay tuition in full or with a payment plan. Module 1 & 2 | 200-Hour Yoga TT regular tuition: $3100 or 20% off: $2480. Module 1 only: regular tuition: $1600 of $1280 20% off Module 2 only: $1800 Full Price or $1440 20% off

BIPOC TT Financial Aid*

Regular Tuition
Regular Tuition with payment plan
20% off regular tuition
20% off with payment plan
Other. I would like to apply for additional BIPOC financial aid

Financial aid will be awarded to cover a portion of tuition. For financial aid, we will consider a number of factors in determining the amount of financial aid and the payment plan that we will possibly offer. All financial aid applications must be received one month prior to the start date of the training. This deadline is final. We will not consider applications for additional BIPOC financial aid after this deadline. If you have any questions about the application process, please email training@integralyogasf.org. Thank you.

Please explain how you intend on making use of this training, for example, is there a specific population / place that you intend to teach?

Please provide a letter of recommendation here, or email it to training@integralyogasf.org

Max. file size: 512 MB.

How much do you think you could afford to pay for this program?

Please explain any expenses, debts, or other circumstances that you would like us to take into consideration:

Acceptance of Terms*

I agree to the following statement:

I understand that all of the information in this application will be kept strictly confidential and only used to determine my eligibility for the scholarship. I certify that all of the information I have provided is complete and accurate. This application requests personal and financial information and the content will remain confidential and not be released to anyone outside Integral Yoga without your permission. We trust that the information you have provided is complete and accurate.

Signature*

Today's Date

Agreement

I am applying 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. Being accepted into this course does not guarantee that I will be certified to teach yoga or that I will teach at the Integral Yoga Institute. I understand that I am applying for acceptance into this program and will not be confirmed until I receive an email acceptance letter from Integral Yoga San Francisco.

Application Fee

Price:

Please note: This fee is non-refundable & will apply towards your tuition upon acceptance to the program.

Credit Card

Card Details

Cardholder Name

Tuition Payment / Cancelation Policy

I understand that if I cancel before the start of the program, I forfeit up to $175 of my tuition and the remaining balance will be refunded. Once the program begins, the program tuition is non-refundable and non-transferable. Payment and registration for the training can be made on our website or you can pay by check, cash or by credit card over the phone.

I grant to the San Francisco Integral Yoga Institute and its representatives the right to take photographs/video/recordings of me and my property. I authorize the San Francisco Integral Yoga Institute, its assigns and transferees to copyright, use and publish the same in print and/or electronically.*

I agree to all of the above