Yoga Therapy Program Applications - Vancouver School of Healing Arts

Yoga Therapy Programs *

300 Yoga Therapy

500 Yoga Therapy

800 (Certified) Yoga Therapy

Foundations of Yoga Therapy *

February, 2022

Advanced Yoga Therapy *

May 31, 2021

C-IAYT Yoga Therapy *

February, 2022

How did you hear about VSOHA?

Personal Information

First Name *

Last Name *

Gender Pronoun(s)

Street Address *

City *

Province / State *

Postal Code / ZIP Code *

Primary Phone Number *

Secondary Phone Number

Social Insurance Number (For Tax Purposes) *

Email Address *

Background

Birth Date *

Citizenship *

Immigration Status *

Current Occupation *

Emergency Contact Information

Emergency Contact Name *

Emergency Contact Primary Phone Number *

Emergency Contact Secondary Phone Number

Application Questions

Briefly describe your education, both formal and informal. *

Detail your prior experience with yoga. Please include practice, training or reading. *

Describe your personal and professional goals and how this program can help you achieve them. *

What qualities, skills, and values do you consider important for a yoga teacher? *

How long have you been practicing yoga? *

Started recently

More than 6 months

More than 1 year

Have you taught any yoga classes? *

No

Yes - Less than 1 year

Yes - More than 1 year

Health Evaluation

Do you take any medications regularly? *

Yes

No

List any medications taken regularly.

Do you have any physical limitations? *

Yes

No

Describe your physical limitations.

Are you currently receiving treatment for any reason? *

Yes

No

Describe the treatments you're currently receiving.

Do you have any allergies? *

Yes

No

List all of your allergies.

Any other illness, surgery, or injury? *

Yes

No

Describe:

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Yoga Therapy Application