Himalaya Yoga Valley

First Name *

Last Name *

Email Address *

Phone Number *

Date of birth *

Address *

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Gender *

Male
Female
Transgender

Medical History *

Please list all medical history including psychological treatments, therapies, current medication, recent or past injuries, allergies etc. All information received is confidential and gathered for your benefit to ensure your TTC is a safe experience. Plea

Emergency contact name *

Emergency contact phone number *

Emergency contact mobile number *

Which 200hr YTT are you applying for internship? *

Which location? *

Your previous 200hr dates and location *

Location and dates of Yoga Teacher Training you completed with us

Your teaching experience *

Brief description of your teaching experience since graduating from your 200 hour TTC: (i.e. length of teaching, location, style , types of classes etc)

Your professional development *

List your professional development, if any, undertaken since graduating from your 200 hour TTC: (i.e: workshops, intensives, trainings, retreats etc)

Your personal practice *

Brief description of your personal practice since graduation from your 200 hr TTC: (i.e. asana, pranayama, meditation, kriyas, self directed learning on anatomy, philosophy, ayurveda etc)

What do you expect to gain from the internship? *

What value do you expect to add to the training? *

Is there anything else you would like to add? *