CY Teacher Training 200 Hour Online Application Form 1 Personal Details2 Your Yoga Background3 Your Health4 Our Working Agreement Personal DetailsName* First Last Date Today Date Format: MM slash DD slash YYYY Email* Phone*Address Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Date of Birth* Date Format: MM slash DD slash YYYY Current Job*Do you have children? If so, what ages?Start date of the course you wish to apply for? Date Format: MM slash DD slash YYYY Your Yoga BackgroundHow long have you been practising yoga?*What aspect of Yoga do you like the most, and why?*What aspect of Yoga do you find the most challenging, and why?*Why do you want to take this teacher training course?Why do you want to be a yoga teacher (if you do)?*Which teachers’ classes do you enjoy?*How often and what yoga classes do you attend?*Do you have a home-practise?YesNoHow often do you practise yoga (home & studio)?*Do you practice pranayama?*YesNoDo you meditate?*YesNo Your HealthDo you have any special requirements with reading or writing?YesNoDo you have any of the following: Arthritis Back, neck spinal problems Carpal tunnel Chest pains Current/recent pregnancy Depression Dizziness/Fainting Ear or eye disorders Epilepsy Fibromyalgia, ME or CFS Heart problems High or low blood pressure Joint problems ME Recent surgery Respiratory problems None of the above If you answered 'yes' to any of the above, please give details belowDo you have any other health conditions?*Please answer yes or no, and if yes give detailsAre you taking any prescribed medication?*Please answer yes or no, and if yes give detailsEmergency Contact*Please provide the following information about your emergency contact. Name, phone number and your relationship to them. Our Working AgreementI understand and agree that all deposits and fees are non-refundable.* I understandI agree to attend all course dates and submit all coursework in a timely manner. I understand that late submissions and missed days will usually incur additional fees* I agreeI agree to conduct myself professionally at all times and formally abide to the Yoga Alliance Professionals ethical guidelines. I confirm I will uphold the integrity of Crawley Yoga & Yoga Alliance Professionals in my subsequent work as a qualified teacher.* I agreeI confirm that I have access to a computer and printer and that I can send and receive emails and use a web browser to access the internet.* I confirm This iframe contains the logic required to handle Ajax powered Gravity Forms.