Apply here!

Name*

First NameLast Name
Phone Number*

Country CodeArea CodePhone Number
Date of Birth

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
example@example.com
Website
Emergency Contact Name*
Relationship to emergency contact. *
Phone number for emergency contact.*

Country CodeArea CodePhone Number
Date you received your 200 Hour Yoga Teacher Certification*

MonthDayYear
Date
Where did you receive your 200 hour Yoga Teacher Training? Please provide the name of the institution, address, and phone number of your school. *
Who were your primary trainers? Please provide name(s) and phone number.*
What style of yoga did you study?*
Was your institution Yoga Alliance certified?*
Are you a certified TRE Provider?*
Have you completed a consultation call with a trainer?*
Please list any other related trainings that you have completed.*
Please include, training or workshop name, institution, and date of completion.
What style of yoga do you practice for yourself now?*
What style of yoga do you currently teach?*
Have you ever practiced neurogenic tremoring (TRE or Neurogenic Yoga)? If so, how long have you been practicing? *
Why do you want to be Neurogenic Yoga Teacher Certified?*
Is there anything else you would like us to know about you?*
Additional Document Uploads

Please upload the following documents:
- Copy of your official yoga teacher certification and any other yoga related certificates.
- Log of 50 classes minimum of yoga instruction or a photo of you Yoga Alliance membership card.
- For TRE Providers only: upload your TRE issued certificate of completion.
Upload your documents here!

Cancelof
Should be Empty:

Additional Document Uploads