GCYT app form with no payment – was used for GCYT webinar 2021 2021-10-14 Graduate Certificate in Yoga Therapy Application Form Full Name * Email * Address * Address Address Address City/Suburb City/Suburb State/Territory State/Territory Postcode Postcode Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone * Are you Under or Over 25? * Under 25Over 25 Yoga Teaching Qualifications Where did you train (location)? * What year? * Name of Teacher/School * How many hours was your initial teacher training course? * Are you a member of a Yoga Association? Yes No Which one? Yoga AustraliaIYTAYoga AllianceOther Which one? Please attach proof of your qualifications. Drop a file here or click to upload Choose File Maximum file size: 26.21MB If you have completed a Yoga teacher training course of less than 350 hours duration, please include a list of additional workshops, courses, conferences that you have attended that show how you have made up the required 350 hours. Please indicate the duration of each course. (Do NOT include non yoga related courses here, such as, fitness, massage, counselling etc.) Yoga Teaching Experience What year did you commence teaching Yoga? * How many classes on average would you teach each week? * Please estimate how many hours you have taught in total. * Please provide brief details about any other relevant qualifications (e.g. Counselling, Massage, Fitness) if applicable. Medical Conditions / Surgeries / Injuries / Special Needs Emergency Contact Contact Name * Contact Phone * Relationship to you * I agree to abide by the Terms of Use. Please pay particular attention to the refund policy. I agree to abide by the Yoga Therapy Institute Code of Conduct and Administrative Policies. I warrant that the information provided above is accurate and understand that the information collected is to be used for the purposes of delivering the course and that Yoga Therapy Institute will not use the information for any other purpose without my permission. In enrolling in this course, I undertake to comply with attendance requirements, complete assessments in a timely manner, ensure all assignment work is original and not plagiarised and conduct myself with fellow students, tutors and visiting case studies honestly and respectfully and in a manner that accords with the Yogic ethics and in accordance with the Yoga Therapy Institute Code of Conduct. * I agree to the Terms of Use, Code of Conduct and herewith confirm my application for the Graduate Certificate in Yoga Therapy course. I authorise Yoga Therapy Institute to charge my credit card for $1000 once my application is accepted. If you are human, leave this field blank. Submit Your Application