Registration: 580-hr. Professional Diploma in Yoga Therapy

Welcome to the Minded Institute Registration Form.

We look forward to speaking with you about your potential journey towards becoming a Minded Yoga Therapist
Prerequisites for the 600 Hour Professional Diploma in Yoga Therapy

There are two entry routes onto this programme, one for certified yoga teachers who have been teaching for at least 1 year with a minimum of 150 hours formal teaching and one for Health Care Professionals (HCPs). HCPs include those working in health care and mental health care in the following fields: Psychotherapy, Psychology, Medicine, Nursing, Physiotherapy, Social Work, other therapists and allied health care professions. Although these are the requirements, in exceptional circumstances we may make allowances, so we advise that you complete the questions below and speak with the Course Director to discuss your options, if you strongly feel that this is the right course for you.
Which 600 hr. Diploma cohort are you applying for?*
Name*

First NameLast Name
Pronouns*
Email*
example@example.com
Phone Number (please remember to specify your country code if not using a UK number!)*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Entry Point
Please state which route you wish to apply to the programme via:*

Entry Point 1: I am a yoga teacher with at least 1 year of yoga teaching experience and at least 150 hours of formal teaching.Entry Point 2: I am a Healthcare Professional.
Entry Point 1 - Yoga Teacher

Please provide more details about your yoga teacher training below
Yoga Teacher Training course start date:*
Yoga Teacher Training course graduation date: *
Name & Details of training course, including your number of hours: *
Additional yoga trainings:*
Entry Point 2 - Health Care Professional
Healthcare Professional qualification:*
Date of course completion:*
Additional relevant trainings:*
Entry Points 1 & 2
What is the highest level of education that you have achieved?*

O Levels/GCSEs (Level 2)A Levels (Level 3)BTEC (Level 3)HND/ HNC (Level 4)Vocational QualificationsUndergraduate Degree (Level 6)Post Graduate Degree or qualification (Level 7)
Course name of highest level of study:*
Do you foresee any potential challenges or have any concerns about undertaking the course?*
Are you fluent in English?*
Have you undertaken the Cambridge English Language Assessment (or an equivalent) and if so, what level of certification have you achieved?
Your Experience

Please confirm you have been practicing yoga for over 3 years. In Unique circumstances, if you do still have significant yoga practice (but less than 3 years), we may still consider your application. Please provide further details if selecting 'No'.
Yoga Experience Confirmation*

Yes, I have been practising yoga for over 3 yearsNo, I would like to provide further information about my yoga practice
Please provide details of any CURRENT physical health issues that we may need to be made aware of: (please leave as N/A if not applicable)*
Please provide details of any PAST mental health issues that we may need to be made aware of: (please leave as N/A if not applicable)*
Please provide details of any CURRENT mental health issues that we may need to be made aware of: (please leave as N/A if not applicable)*
Booking your initial discussion

Please use the booking system below to arrange your initial discussion with Course Director Heather Mason. Please remember to complete the remainder of this JotForm once you have booked an appointment!
Please note that our Course Director Heather Mason will phone you using the phone number entered in this form. If you are not able/ready to book a phone call, please select one of the options found below the booking platform. If you're having any issues accessing the booking form, the direct URL is: https://calendly.com/themindedinstitute/600h-registration.
If you would like to book a slot further into the future (slots are generally released 3 weeks in advance), or if you cannot find a timeslot listed that you can attend, please indicate this below and we will get back to you.

I would like to book a slot more than 3 weeks from now.I cannot find a timeslot that I can attend.I would like to register my interest in this course but I am not quite ready to arrange a discussion at this time.N/A - I have booked through the above form!
If you do not feel ready to arrange a discussion at this time, it would be appreciated if you could let us know why in the box below. *
Staying in Touch

Your privacy is important to us. We’d like to keep in touch so please complete your contact preferences below. (Please tick all that apply)
How did you find out about this course? Any further information can be provided in the box below.*
If you ticked other please provide details below
Other
If you have a referral code, please let us know:
I am happy for the Minded Institute to contact me by:*

EmailPostPhoneSMS (Text)
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Confirm your Registration
I confirm that the information I have given is a true and correct record and I give my consent to The Minded Institute processing this information in accordance with GDPR and the Data Protection Act 2018.*

Yes
Personal Data

If you have any questions about data protection at the Minded Institute or would like to request to change or delete your data please email: info@themindedinstitute.com.
Queries

If you have any queries concerning the completion of this form, please contact info@themindedinstitute.com
Should be Empty:

Welcome to the Minded Institute Registration Form.

Prerequisites for the 600 Hour Professional Diploma in Yoga Therapy

Entry Point

Entry Point 1 - Yoga Teacher

Entry Point 2 - Health Care Professional

Entry Points 1 & 2

Your Experience

Booking your initial discussion

Staying in Touch

Confirm your Registration

Personal Data

Queries