Spanda Yoga Movement Therapy Program Application

Please fill out all fields below and then click Apply

FIrst Name

Last name

The International Association of Yoga Therapists requires that you are 18 years or older. Are you 18 or older?

Yes

Date of Birth (Optional)

Gender

Male

Female

Other

Please Describe

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Primary Phone

Profession:

Academic Degree(s) or GED, other:

How did you learn of our program?

200-hr yoga teacher training school or equivalent experience:

200-hr Lead trainer(s):

300-hr yoga teacher training school:

300-hr Lead trainer(s):

Other somatic/dance/fitness/movement/athletic/martial arts training/activities

Hands-on skill trainings (ex. massage, reiki, Body-Mind Centering, etc.):

How do you see this certification being useful to you in your future life and work?

What do you think will be your greatest challenge in this work?

What do you think you will most enjoy?

Anything else you would like to share?

Agreement

By checking “I agree” below and typing my name into the form below, I acknowledge that the information entered is complete and correct to the best of my knowledge. I understand that acceptance into this program is based on an assessment of my general qualifications and is at the sole discretion of Spanda® Yoga Movement Therapy. I also understand that typing my name below counts as my legal signature.

"I agree"

Full Name as Signature

Select a date

Thank you! We’ll be in touch.