10 week Mentoring Program Application
Thank you for expressing interest in our Mentoring Program. To apply, please take a few minutes to fill out the form below.

Due to the one-on-one personalised basis of this program we have limited spots available. We will let you know the status of your application asap. 

Harri Om, 

Moksha & the Yoga Om team.
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Name *
Email *
Phone number *
How long have you been practicing yoga? 
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What type of yoga do you practice? (Ashtanga Primary series, Vinyasa, Yin, etc)
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Do you have a regular yoga practice? If so, how many times a week do you practice? 
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Are you currently a yoga teacher or aspiring to become one?
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If yes, please list your current qualifications (e.g. 200 hour certified)
What do you hope to achieve from this mentorship program?
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Do you have any physical injuries, past surgeries/operations, or ailments we should be aware of? 
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Which areas of teaching or personal practice would you like to focus on? 
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Availability: please select which times / days would work for you.
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Required
If none of these suit, please let us know what days / times you would prefer.
Do you have any other questions or comments?
Submit
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