Riverwest: 700 North Carpenter | 312.942.9642 Lakeview: 3334 North Clark | 773-975-9642 info@mokshayoga.com

     Moksha Yoga Center reviews and processes applications on a rolling basis as they are received. Acceptance to the program and confirmation of a space in the training  is triggered only when Moksha Yoga Center has received the application questions (part 1), a photo (part 2), and the $100 tuition deposit (part 3).  An application is qualified as pending until all these materials are received and no space is reserved for those applicants who have submitted only a partial application.  The letters of recommendation (part 4) and Liability Agreement (part 5) may be submitted any time before the start of the program.  Please allow up to two weeks for Moksha Yoga Center to review and process your completed application. Thank you!

PART 1  

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

About You

1. Name, address, city, state, zip, phone numbers (home, work, mobile)
2. Which program are you applying to?  Chicago, Focus/Brookfield, Namaste/Peoria?
3. Email address
4. Birthdate (you can leave off the year, if you want :)
5. Occupation
6. Family (# children) and partner's name
7. Activities, hobbies, and interests
8. Who can we call in case of an emergency? Please provide a contact, relationship, phone number, and email.
9. List all injuries, past and present.
10. 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?
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 a lot of emotions/issues to the service)? Do you have a support network? Does your family support 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?
16. How did you hear about this program?
    

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 Classical Yoga and 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.  Please list something so we know you are able to tap your creative side...

PART 2

Please include a color photo of yourself (please email jpg or tiff).

PART 3

Please submit your tuition deposit ($100) by check or cash.  Or use your credit card with the Google Shopping Cart on this page.  You should receive a response within 2 weeks of submission of your application. 

PART 4  

Please submit 2 letters of recommendation from your yoga teachers.

PART 5

Please review the following Agreement and mail a signed copy to:

Moksha Yoga Center

Attn: Matthew Goldman

2528 West Armitage #201

Chicago, IL 60647

matthew@mokshayoga.com

Ways to Prepare for the Program...

• Establish a regular practice of 3-4 times per week. Attend as many classes at Moksha as possible, experiencing different styles and teaching methods.

• Create a balance between activity and rest. Most of us do not get enough sleep. During rest, the body and mind have a chance to regenerate. Commit yourself to getting at least 8-9 hours of sleep per night.

• Eat a healthy diet rich in whole foods, such as grains, vegetables, and fruit. Reduce or eliminate the consumption of red meat, processed foods, caffeine, and alcohol. Drink plenty of filtered or bottled water.

• Clear your schedule of activities, commitments, and distractions. This training will require up to 10-15 hours of your time every week throughout the year. There will be a break from classes in August.