Just Be Yoga Fearlessly Authentic 200-hour Teacher Training Scholarship Application

Just Be Yoga | Fearlessly Authentic 200-hour Immersion Training

General Information
Name *

First Name Last Name Pronoun(s)
Email *
example@example.com
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Sex *

Female Male Non-binary/third gender Prefer not to say
Tank-top Size (a gift for your commitment to the JBY teacher training!) *

X-small Small Medium Large X-Large XX-Large
Teaching & Education
How long have you been practicing yoga? *
Are you currently teaching yoga? *

Yes No
If 'Yes,' for how long and what style(s)?
Previous yoga education, trainings or workshops taken with Just Be Yoga or any other studio: *
How did you hear about Just Be Yoga's 200-hr Immersion Training? *
Health Information
Do you have any medical conditions that may affect your full participation in the training? *

Yes No
If yes, please explain briefly:
Do you have any injuries or other physical impairments? *

Yes No
If yes, please explain briefly:
Do you have any allergies? *

Yes No
If yes, please explain briefly:
Do you currently take any prescription mediations? *

Yes No
If yes, please explain briefly:
Emergency Contact
Name *

First Name Last Name
Relationship *
Phone Number *

Area Code Phone Number
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Please answer the following questions:
(600 words total for ALL questions): Why do you want to do participate in JBY's 200-hr Immersion Training? What do you expect to get out of this training? What style of yoga resonates with you? What brings you back to your mat? What is one thing that people do not know about you? *

0/600
Are you currently a change maker in your community? If so, how? Is there a particular population that you would like to support? If so, why are you called to be the change? How will this Immersion Training allow you to continue or start the work you want to do in your community?
Support by way of a scholarship can look different depending on the support you need. We want to be mindful and hear you as you express the level of support you desire. Please check all that apply.

Monetary Props: Yoga Mat, Blocks, Strap, Yoga Towel Other, please explain
If you answered monetary in the above question, are you looking for a FULL scholarship or PARTIAL? And if partial, what are you comfortable paying?
Deposit, Payment and Refund Policy

Please read carefully.
No deposit required

Thank you for applying for the Just Be Yoga 200-hr Immersion Training scholarship. At this time, there is no deposit required.

We review all applications 4-weeks prior to the start of training. If there is more that you are interested in sharing with us, please do so here.

We are looking forward to being on this journey with you.
Any last thoughts?
Date: *
Code of Ethics
Just Be Yoga adopts the code of ethics and code of conduct created by Yoga Alliance. Yoga Alliance is a national organization that registers yoga teachers and yoga teacher schools who have complied with their required educational standards. Yoga Alliance sets the standards for both teachers and programs.

Code of Ethics for Yoga Teachers
As a Yoga instructor, I will strive to live in accordance with the principles of Yoga. To the best of my ability, I will adhere to the precepts of the yamas and niyamas, which include non-violence, truthfulness, and purity. As I am dedicated to the well being of my students, I will conduct myself with integrity in all my interactions with them. I will present my qualifications honestly and share the teachings with humility and respect. I will do my best to keep up with my yoga practice both for my personal growth and to be a good example for my students. I realize that it is a privilege to serve in this way, and I am grateful for the opportunity to do so.

YOGA ALLIANCE PREAMBLE TO CODE OF CONDUCT
This Code of Conduct is a summation and declaration of acceptable, ethical and professional behavior by which all Registered Yoga Teachers (RYT and Registered Yoga Schools (RYS) agree to conduct the teaching and business of Yoga. The Code is not intended to supersede the Code of Conduct/Ethics of any school or tradition but is intended to be a basis for yoga ethics.

YOGA ALLIANCE CODE OF CONDUCT
As a Registrant of Yoga Alliance, and as a Registered Yoga Teacher (RYT) or representative of a Registered Yoga School (RYS), I agree to uphold the ethical goals set forth in the following Code of Conduct:
Uphold the integrity of my vocation by conducting myself in a professional and conscientious manner.

Acknowledge the limitations of my skills and scope of practice and where appropriate, shall refer students to seek alternative instruction, advice, treatment or direction.

Create and maintain a safe, clean and comfortable environment for the practice of yoga.

Actively encourage diversity by respecting all students regardless of age, physical limitations, race, creed, gender, ethnicity, religion affiliations or sexual orientation.

Respect the rights, dignity and privacy of all students. Avoid words and actions that constitute sexual harassment.

Adhere to the traditional yoga principles as written in the Yamas and Niyamas.

Adhere to all local government and national laws that pertain to my yoga and teaching business.
Mental Health Policy
I do not have any physical or mental illness (which has not been disclosed) or condition that would prevent me from participating fully in the Just Be Yoga Teacher Training in a safe manner for others and myself. I represent that I am not under the influence of drugs or alcohol that would impair my ability to be safe during the training and/or that would endanger others. I agree to stay on any currently established physical or mental health support throughout the entirety of the training.
Pre-Homework
You’re required to arrive with assignments completed and sequences memorized. Pre-homework assignments due dates will be shared with you. These may include essays, audio files, memorization and reading materials. Specific details will be emailed.
Attendance Policy
By signing up for this program, there is an expected commitment for you to attend 100% of the training. We ask that you check the dates before signing up and re-arrange your schedule to fit the hours given. The completion of this program results in:

Certificate of Completion: Just Be Yoga provides a 200-hour certificate of completion that you can submit to Yoga Alliance to receive your designation.

In order to receive your certificate and fullness of the experience, we request your presence for the entirety of the program. Only in the case of emergency, you are able to makeup up to 10 missed hours (at an additional cost of $100 for a one hour private session with a lead teacher). Our hope is that you experience the fullness of this experience, but understand life shows up - even when we have other plans.
Agreements
Please check EACH box to agree and adhere to the previously listed codes, policies and agreements, and sign/date below : *

I agree to adhere to the above Code of Ethics. I have read and understand the Mental Health Policy. I fully understand and agree to the above terms regarding Pre-Homework. I commit to showing up 100% ready, which means I will complete the assignments. I fully understand and agree to the above terms of the Attendance Policy. I have carefully examined the dates of the training and am fully committed to the training.
Signature: *

Clear
Date: *
Media, Copyright, and Liability Agreement
As a participant, I agree that any photos or videos produced by Just Be Yoga from this training may be distributed without limitation through any means, and I shall not receive any compensation for my participation. I confirm that any and all material furnished by me for this program is either my own or otherwise authorized for such use without obligation to any third party or me. I also agree to the use of my name, likeness, portrait or pictures, voice and biographical material about me for educational and organizational promotional purposes. I further agree that my participation in the program confers upon me no rights to use, ownership or copyright. I release Just Be Yoga, its employees, agents, and assigns from all liability which may arise from any and/or all claims by me or any third party in connection with my participation in the program(s).
Signature: *

Clear
Date: *
Declaration of Acceptance Forms
I hereby declare the information in this application to be true and complete. I understand that providing false information is grounds for rejection of this application, expulsion from the program, or revocation of certification. Please check: *

I’ve read each section & accept the requirements of each
Signature: *

Clear
Date: *
Upon acceptance of your application, we will email you a welcome letter, a heaping dose of transformative energy, and lots of love!

For further information or if you have any questions, please do not hesitate to contact us at melissa@myjustbeyoga.com.

With Gratitude,
Your Just Be Yoga Lead Practioners
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Just Be Yoga | Fearlessly Authentic 200-hour Immersion Training

Teaching & Education

Health Information

Emergency Contact

Please answer the following questions:

Deposit, Payment and Refund Policy

Code of Ethics

Mental Health Policy

Pre-Homework

Attendance Policy

Agreements

Media, Copyright, and Liability Agreement

Declaration of Acceptance Forms