Therapeutic Applications of Integral Yoga A 300-hour Broad-Spectrum Program APPLICATION FORM Hari Om! Greetings of Peace! Dear Yoga Teacher, Thank you for your interest in Therapeutic Applications of Integral Yoga. This is the Integral Yoga program for teachers who wish to be grandparented by the International Association of Yoga Therapists. To determine if you are eligible to apply for this program, please refer to the Eligibility Guidelines document at iytherapy.org. The Eligibility Guidelines are stringent and comprehensive. All candidates must submit proof of completion for all teacher trainings, workshops, teaching and experience as described in the application. We cannot provide credit without proper documentation. Your application, supporting documentation, letter of reference and deposit must be received by mail as one package by Nov. 7, 2013, to be considered. A checklist is provided at the end of this form to assist you in compiling the necessary documents. If you have any questions, please contact by e-mail only program administrator Satya Skiba at
[email protected] May your life be filled with Peace and Joy! The Integral Yoga Therapy Task Force Swami Ramananda Swami Sarvaananda Rev. Jivana Heyman Lakshmi Sutter Jaymie Meyer Nancy O’Brien Leticia Padmasri Name _______________________________________________________________________________________ Spiritual name if different_________________________________________________________________ Address _____________________________________________________________________________________