The Aquarian Trainer Academy
PO Box 1819, Santa Cruz, NM 87567
Fax: 505-753-5982
Level One Lead Trainer Application
This application is for a Professional who wishes to begin the process of becoming a Lead Trainer.
Fax, mail or scan but send only once. We do not need originals as faxed or scanned applications are legal. Copy your FULL application before sending. If you don’t receive confirmation from the Academy that your application was received, then we didn’t receive it!Mail to: PO Box 1819, Santa Cruz, NM 87567 or Email to: or Fax to: 505-753-5982
Read First document titled: “The Lead Candidate Application and Practicum Process”
Date of Application: ______
Candidate’s Legal Name ______
Spiritual Name if different______
State/Country______
Only update contact information if it has changed within the year:
Address ______
State/Country ______
Work #______Home #______Cell # ______
Fax ______Email address ______
Date on your Level Two Certificate: ______
Please also enclose a copy of your Level Two Certificate.
If you have not already done so, please send a JPEG photo of yourself for your file and for the online Trainer’s Directory.
How many Level One programs have you participated in as a Professional? ______
How many total hours of effective stage time during Level One programs have you accumulated since you began in the Academy? ______
List 3HO Events that you have attended in the past 3 years: PLEASE NOTE: All Trainers are required to attend at least one international 3HO / IKYTA / KRI event every two years.
______
Using the Competency Evaluation Form note 6important Competencies(knowledge/skill/ability)that you exemplify as a Trainer. Explain how they support you and your team.
1.
2.
3.
4.
5.
6.
Note 3Competencies(knowledge/skill/ability)that you believe need more development. What could you do to strengthen them?
1.
2.
3.
I am a KRI licensed Professional Trainer for the current year. I renewed my membership on______
I have read and understand my commitment to living my life in accordance with the Code of Excellence for Kundalini Yoga Teachers which includes the yogic lifestyle requirements that I abstain from alcoholic beverages, drugs (other than prescribed by a physician), tobacco and eat a vegetarian diet.
My signature below verifies that I understand the process as outlined in the “Lead Candidate Application and Practicum Process”, meet the criteria and wish to apply as a candidate for Lead Trainer in KRI Teacher Training Level One.
______
Signature (Legal Name)Date
______Printed Name Spiritual Name (If different)
Level One Programs you have taught in as a Professional Trainer.Program Location / Start Date / Lead Trainer / Hours Taught / Topics Taught
ATA #004b Lead Candidate Application Form 2/8/13