Yoga Informed Recovery Coach Training Application
This is the application to participate in the 125-hour Recovery 2.0 Coach Training Program based in the principles and practices of yoga. This training is designed to provide yoga teachers and dedicated practitioners of yoga with the specific knowledge and skills necessary to coach and teach others how to move beyond addiction and thrive in life. Thank you for choosing to be a part of this training.
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
Email
*
example@example.com
Gender
Female
Male
Prefer not to say
Age
Occupation
Why do you want to participate in this training?
Have you completed a 200-hour yoga teacher training? If yes, was your training Yoga Alliance certified?
What specific yoga training or experience do you have? If any, what teachers have you studied under?
Are you familiar with the Yoga Sutras of Patanjali?
Yes
Somewhat
No
Describe your philosophy about yoga and current yoga practice.
Describe your current meditation practice.
Do you smoke, vape, or use nicotine in any form?
Yes
No
Do you use recreational drugs or alcohol?
Yes
No
Are you in recovery from any kind of addiction?
Yes
No
If you answered "yes" to either questions, please describe.
Are you sober or abstinent from any addictions mentioned above?
Yes
No
N/A
How long have you been sober or abstinent from these addictions?
Describe your philosophy about recovery.
Are you familiar with the 12 Steps or other recovery programs? Is there another recovery community you belong to? Please describe.
Describe your physical health.
Excellent
Good
Fair
Poor
Do you have any physical limitations?
Describe any physical activities you participate in.
Are you currently pregnant?
Yes
No
N/A
Are you dealing with any mental health problems? Please describe how you manage them.
Describe your diet and relationship with food.
Please share any additional information you would like us to consider while reviewing your application.
How did you hear about this training?
Facebook
Instagram
YouTube
R20 Website
Google search
Referral
Other
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