Application Form for the Life Centre Yoga Teacher Training Programme Level 1 (200 Hour
Yogacampus Teacher Training Diploma
Application for Yogacampus® Yoga Teacher
Training Diploma – York June 2018
You may complete this form in your own handwriting or as a Word document and may use a maximum of ONE more additional A4 page if you require it.
Date:
Name:
Address:
Country and Postcode:
Phone Number: Landline: Mobile:
Email: Age:
Profession:
If you live outside York please let us know if you regularly travel to another city (for example for work) as this may be helpful in allocating you to a contact teacher group.
How long have you been practising yoga? We require you to have had a regular yoga practice for the last 3 years.
Please briefly describe the following:
1) The style(s) of yoga you have practised
2) How often you attend classes and where
3) Your home practice (if you have one)
Who is / are your main yoga teacher(s)? How long have you studied with them?
List the yoga workshops or any yoga teacher training modules you have taken within the last 5 years.
Which posture do you enjoy practising most and why?”
Which posture represents the greatest challenge for you and why?”
Are you currently teaching, or have you ever taught, yoga? If so, please describe the kind of class and students.
Do you have any qualifications or training you consider relevant to yoga, for example movement and dance teaching or training qualification, fitness instructor, personal trainer, certifications in the medical field (medical doctor, occupational therapy, physical therapy, etc.) and/or bodywork (massage therapy and energy medicine)? If so, please attach copies of your certificate(s).
Please summarise in between 150 and 250 words why you want to be a yoga teacher (please continue on separate page if necessary)
Please briefly describe any past or current health issues which may impact on your ability to participate fully in and/or complete the course. (Any information provided will be treated in confidence, and will only be disclosed to the teacher training board, course teachers and Yogacampus teacher training staff.)
Please return your application form and references by the closing date by email to :
or by post to :
Yogacampus office, 16a Crane Grove, London, N7 8LE.
By submitting this application form you acknowledge that you have read and understood the course prospectus.
To consider your application we need two references, one of which should be from a yoga teacher who knows you. The other reference can be someone who knows you as a practising yoga student. Your referees should complete the sections of this form which appear below.
Teacher Recommendation
Name of Applicant:
Telephone number and email address of Recommending Teacher (please note that we may wish to contact you to discuss the suitability of the applicant for the course)
How long has the applicant studied with you?
How often does she / he attend your classes?
How would you describe the applicant’s asana practice?
What do you consider to be the applicant’s strengths and why do you think the applicant is suitable to undertake teacher training?
Signed:
Personal Recommendation
Name and Address of Second (Personal) Referee _
How long have you known the applicant and in what capacity?
Why do you think the applicant is suitable to undertake yoga teacher training?
Signed:
© Yogacampus 2018
Yogacampus is the trading name of The Life Centre Education Limited, registered number 4375834,