LEAP 200 Hour Application

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Thank you for your interest in the Leaders Empowered into Action Program. This training will be a remarkable journey for your growth! Upon successful completion of the program you will be a certified 200hr yoga teacher.

This years program runs on the following dates:
May 20-22, June 17-19, July 15-17, August 5-7, August 26-28, September 16-18, September 30-Oct 2, October 21-23, November 11-13

When this form has been successfully submitted, you will see the confirmation message: "Thank you for your application. We will be in touch with you shortly.” You will also be emailed a copy of your responses.

We will review applications and reply by email within 5 business days. The cost of the program is $3000. If you sign up by March 31st, you will receive $500 off! A non-refundable deposit of $108 is due upon acceptance to the program. Payment plans are available.

Email *

Name *

First and last name

Street Address *

City *

State / Providence / Region *

Zip / Postal Code *

Phone number *

Birthdate *

YYYY

Emergency Contact Name & Number *

How did you hear about this training? *

Describe your current yoga and meditation practice? Do you go to a studio or practice at home? How many times a week? *

Job Title & Employer *

What if any wellness or leadership trainings have you completed? (name and date) *

List three principal commitments in your life currently. (Please list in order of importance.) *

Please state the main reason you are interested in this program. *

What will you use this program for, once you have completed it? *

This program requires the time commitment of attending ALL the scheduled hours as well as coursework which include readings, writing, a regular physical practice, and outreach teaching. These can be completed in an average of 3-6 hours a week. Please explain how you will meet this commitment. *

A graduation requirement is to teach 10 free classes to the community. Is there a specific community that you are part of or would like to impact with your outreach classes? Who are you going to serve and why? Its ok if you aren't sure right now! *

Describe your level of wellness and what you do to maintain it. *

We will be in a strong physical practice with group work and self-inquiry. Do you have any pre-existing conditions that would impact your participation in the program? Are you currently on any medications or under physical or psychological care? (If yes please explain) *

What, if any, experience do you have with: Meditation/Mindfulness, Breathwork, Self-Inquiry and a physical yoga practice? *

How do you define leadership? *

A copy of your responses will be emailed to the address you provided.

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