Application 200 Hour TT Application (2017-2018) Name (First & Last): * Address (ex. 91 Montgomery Ave, Scarsdale, NY) : * Phone * Email Address * Date of birth * Describe your yoga experience. Include dates, teacher, method, location. Ex. 1996-2000 Yoga Haven with Betsy Kase, Vinyasa. * What does your current practice consist of? * Do you take classes at Yoga Haven? * Yes I have in the past No I work privately with a Yoga Haven instructor I take classes at another studio with an instructor who teaches at Yoga Haven Check all that apply. Are there any injuries, disabilities or illnesses that we should be aware of? What are you currently doing to address this (i.e.: medically, alternative treatment...)? * Briefly describe any body/mind or spiritual practices that you have been involved with other than yoga. * Why are you interested in this program? Did you consider other ones? Which other programs? * Are you interested in teaching yoga? Why or why not? * What is your education other than yoga (i.e. high school, college, graduate school)? * Do you work in or out of the home? How many hours per week? Please describe your work experience over the past 10 years. * Do you care for other family members (children, parents, etc)? * List any other personal obligations you may have during this training. * Is there anything else that would prevent you from fully participating in this training? * Program Dates: Begins September 6th, 2017 and takes place over eight months to allow for the full integration of the material into the student’s practice and life. An additional one-to-two months may be needed to complete requirements. The training meets Wednesday nights 6-9pm, six full Sundays 1pm-6:30pm and three Friday night workshops 6:00-8:30pm. * I agree Application Requirements: You are eligible to apply if you have studied yoga consistently for a minimum of 1 1/2 years and have an established personal practice. It is helpful to have studied at Yoga Haven. This does not guarantee acceptance. You will also be required to have an interview with Betsy Kase, Director of Yoga Haven. * I agree Graduation and Attendance Policy: Students are required to attend all Wednesday night classes, Friday and Sunday sessions. In case of emergency, and a session is missed, with advanced notice, that session will be made available to you by video tape for a fee of $25 per session, or made-up privately at an additional cost of $80 per hour paid directly to the teacher. Some material is hands on and cannot be learned via tape. Those sessions will need to be made up privately, or with the following year’s class. If more than 6 hours of in class time is missed, you will need to meet with Betsy to assess the situation and potentially make up sessions with the following years group at a charge of $30 for Wednesday/Friday sessions and $60 for Sunday sessions. * I agree Unlimited Yoga Classes: During the length of the training (first Wednesday night – written test night) you are free to take as many yoga classes on the regular schedule. All yoga classes required for graduation must be attended during this time, any additional classes after test night would be at the cost of the trainee. * I agree Additional Requirements: The following requirements are due before graduation from the program. Any and all “papers” can be handed in through 12/31/2018. • Two additional yoga classes at Yoga Haven required weekly (24 level 1 classes, 24 any level, 4 Iyengar classes, 1 prenatal class, 1 restorative class) • 8 class observations and write-ups • 2 class outlines • 3 Friday night workshop and write-ups • Teaching practices • Group practices • Weekly yoga journal • History and philosophy papers • Written test & test classes. A passing grade on the written test is 75. All students must teach a test class with a passing grade. Upon graduation, students will receive a certificate acknowledging completion of the teacher training at Yoga Haven. * I agree Approximately 5-15 hours per week is needed for reading, writing and teaching practice. I agree Program Fees: • Application fee is FREE. • Teacher Training fee of $3400 includes unlimited yoga classes for the duration of the program at Yoga Haven. • $2000 is due upon acceptance to the program. The remaining $1400 is due the first night of training. • Books are an additional fee of approximately $100. • Early Bird Applications received by June 1st, 2017. Upon acceptance, if payment in full by July 15th, 2017 will receive $100 credit on the last payment of $1400. Payment plans can be arranged if finances are prohibitive. * I agree Graduation Requirements: Passing of the written test and test class along with all written papers, journals and observations are required to be handed in by December 31st, 2018. Anyone who wishes to complete the training, but is unable to by December 31st, 2018, will pay a $50 administrative fee per year to receive the teacher training certificate. * I agree Tuition Refund Policy: Yoga Haven will refund the entire amount less a $200 administration fee if written notice of cancellation is made before September 1st, 2017. Cancellation up until October 15th, 2017, 50% of the programs fees excluding the $200 administration fee will be refunded. * I agree All Yoga/Pilates Classes and Workshops: I recognize that yoga/pilates requires physical activity which may, at times, be strenuous. By my participation in the classes & teacher training at Yoga Haven LLC/ Yoga Haven 2 LLC (Yoga Source, Inc.), I present to you that I am physically fit and agree to take full responsibility for not exceeding my limits in the practice of yoga/pilates and for any injury I might suffer in the practice of yoga/pilates. * I agree Confidentiality Agreement: During and after the Yoga Haven 2017-18 Yoga Teacher Training, I agree to respect the confidentiality of Yoga Haven. All information relating to Yoga Haven’s teacher training manual, emails and handouts shall be confidential and proprietary to Yoga Haven (all the foregoing, herein after collectively “Confidential Information”). Materials may be shared with other teacher trainees. * I agree Non-Compete Agreement: I agree not to set up in business as a direct competitor of Yoga Haven, LLC, and Yoga Haven 2, LLC within a radius of seven miles of Yoga Haven, 62 Main Street, Tuckahoe, NY 10707 and Yoga Haven 2, 91 Montgomery Ave., Scarsdale, NY 10583 for a period of three years following the end of the training (May 2018). * I agree Damages: I agree to pay liquidated damages of $100,000.00 if any violation of confidentiality or non-compete are proved or admitted. * I agree Submit After submitting your application online, please email a photo of yourself to email@example.com. You will also need a recommendation from a current or past teacher. They can fill out this recommendation form and mail or email it directly to Betsy.