Teacher Training Application Form

The following information will be sent in confidence to MokSana Yoga. Your application will be reviewed and you will receive a reply as soon as possible.

Please note that ALL fields MUST be filled out in order to send the form successfully.

Namaste.

  Name:
  Address:
  Phone:
  Email:
  Date of Birth:
  # of dependent children:
  For which session are you applying? (select one)
  Occupation/Skills?
  What are your interests and hobbies (besides yoga)?
  Do you teach Yoga now?  If yes, please describe in detail what you teach and where you studied to teach.  If no, why do you want to teach yoga?
  Do your religious/spiritual beliefs conflict with the presentation and discussion (in the context of this program) of Eastern religious and philosophical systems?
  Please describe your background with yoga. Where have you been practicing and for how long? Please provide details on the styles of yoga you practice, classes you have taken/are taking and teachers.
  Have you studied any other Eastern system of the body (eg. Tai Chi, bodywork, Karate, acupuncture)?
  Have you studied any Western based system of the body (eg.dance, Pilates, Feldenkrais)?
  Have you ever been injured as a result of your yoga practice?  If yes, please describe in detail.
  How did you hear about our program?
  Please add anything else you want us to know about yourself or your involvement with yoga.