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.
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
Are you in recovery from any kind of addiction?
Yes
No
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?
Are you familiar with the 12 Steps or other recovery programs? Is there another recovery community you belong to? Please describe.
Describe your philosophy about recovery.
Do you smoke, vape, or use nicotine in any form?
Yes
No
Do you drink alcohol or use recreational drugs?
Yes
No
If you answered "yes" to either questions, please describe.
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.
Why do you want to participate in this training?
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?
Conference
Podcast
R20 Website
Facebook
Instagram
YouTube
Google search
Friends/Family
Other
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