Application – Foundation 200hr

 

Application Fee

A $100 application fee holds your place in the training and is non-refundable/non-transferable; those not accepted into the course will be given a full refund.

application fee: $100

Prerequisites

There are no prerequisites for this course other than the following:

    Aadil Palkhivala's advice for a successful yoga student

Required for Acceptance

Please respond to the following and send via email to zoey@mokshayoga.com. Include the original question with your response.

PART 1

About You

  1. How did you hear about this program?
  2. Which program are you registering for...Moksha/Chicago or Focus/Brookfield?
  3. Name, address, city, state, zip, phone numbers (home, work, mobile)
  4. Email address
  5. Birthdate (you can leave off the year, if you want :)
  6. Occupation
  7. Family (# children) and partner's name
  8. Activities, hobbies, and interests
  9. Who can we call in case of an emergency? Please provide a contact name, relationship to you, phone number, and email.
  10. List all injuries, past and present and describe your physical health (major illnesses, surgeries, physical conditions).
  11. Tell us about your emotional and mental health.
  12. Are you currently taking any medications? If so, please list in detail.
  13. Do you smoke?  If you smoke even occassionally, you will not be accepted in the program. Please reapply at least one year or more after quitting.
  14. Do you have a close friend or therapist that will agree to listen to any comments or concerns that may arise throughout the course of this program (practice brings up alot of emotions/issues)? Do you have a support network? Does your family suppport this journey you've decided to take?
  15. This program requires a signifiant time commitment. Do you have any other major commitments (grad school, 2 jobs, etc) that would prevent you from participating fully?

About Yoga

  1. How long have you been taking yoga classes and/or practicing yoga? Please describe your practice in detail. 
  2. Why do you want to take this program? What are your expectations for the training? What do you hope to gain, learn, or improve?
  3. Do you teach yoga now? If so, please describe in detail.
  4. If you plan on teaching after completing the program, why do you want to teach yoga?
  5. Do your religious beliefs conflict with the presentation and discussion of Eastern religious and philosophical systems such as Vedanta?
  6. Have you taken any classes at Moksha Yoga Center? If yes, with which teachers?
  7. Have you studied yoga anywhere else? If so, which style, with whom, for how long - describe your experience in detail.
  8. How would you compare self-practice to that with a class and teacher?
  9. Would you be willing to establish a daily practice (minimum 15-20 minutes) and maintain it to become a certified teacher?
  10. List any other interesting thing you think we should know about you.

PART 2

Color Photo
Please include a color photo of yourself (please email jpg or tif).

PART 3

Application Fee
Please submit your tuition deposit ($100).  You should receive a response within 1-2 weeks of submission of your application. 

PART 4

Letter of Recommendation (due by the start of the program)
Please submit 1 letter of recommendation from your yoga teachers. The student-teacher relationship is critical in becoming an effective teacher.

PART 5

Agreement (due by the start of the program)
Please print, review, and sign the Enrollment Agreement and mail a signed copy with initials on each page to:

Moksha Yoga Center
Attn: Zoey VanDuren, Manager
Teacher Training & In-Depth Studies
700 North Carpenter
Chicago, IL 60642
zoey@mokshayoga.com

Ways to Prepare for the Program