85 HOUR PRENATAL YOGA TEACHER TRAINING APPLICATION

PERSONAL INFORMATION

First Name

Last Name

Birthday

YYYY

ADDRESS

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

EMERGENCY CONTACT

First Name

Last Name

Relationship to Emergency Contact

BRIEF HEALTH HISTORY

Are there any physical or psychological conditions (including pregnancy and/or surgeries) that Mind the Mat should be aware of to support you during the teacher training?

SHORT ESSAY QUESTIONS

How did you find out about the Mind the Mat 85 Hour Prenatal Yoga Teacher Training?

What do you know about Mind the Mat? Why are you interested in doing your 85 Hour Prenatal Yoga Teacher Training at Mind the Mat?

Why do you want to take the 85 Hour Prenatal Yoga Teaching Training at this time in your life? If you are taking this program for your own personal development, explain why.

Please provide a description of your typical weekly yoga practice, including your preferred styles of practice.

Who or what has influenced your yoga practice the most?

How do you plan to apply your prenatal yoga teaching skills to your life and work?

Did you complete a 200 Hour Yoga Teacher Training Certification? If so, where/with whom did you train? What style of yoga was taught in your program?

Does your current work involve working with pregnant or post-pregnant people?

BIPOC SCHOLARSHIP APPLICATION

Mind the Mat offers one yearly $250 scholarship toward the 85 hour Yoga Teacher Training Tuition. This scholarship goes to a person who identifies as BIPOC and who will use their Yoga Teacher Training education and certification to promote diversity, equity and inclusion in yoga spaces. To apply for this scholarship, please detail your connection to this topic and how you will do this work in your community.