IYNZ Level 2 Assessment Application 2024

IYNZ Level 2 Assessment Application

Fri 22 Nov - Sun 24 Nov 2024
BEFORE YOU BEGIN FILLING IN THIS FORM, PLEASE ENSURE YOU HAVE THE REQUIRED DOCUMENTS COMPLETED & READY FOR UPLOADING AS PART OF YOUR APPLICATION:

1) Referral Form
Download the Referral Form via https://tinyurl.com/IYNZL2referral and ask your Teacher Trainer to complete the form. You or your Teacher Trainer can scan or photograph your completed form for uploading (Refer Section 5c)

2) CPR Certificate
Your CPR Certificate must be current as at the date of your assessment. (Refer Section 8)

3) Description of Your Home Practice
In a separate document, please describe in detail your home practice. Include how often you practise, for how long and the asana and pranayama you include. Ensure your name clearly indicated on the page.
Note: This should be maximum 1x A4 page and approximate font size 10 or 12.
(Refer Section 9)

4) Proof of Assessment Fee Payment
The Level 2 Assessment fee is $NZ350.
Online payment should be made to IYNZ: 06-0199-0081273-00. Reference: ‘Assessment/Name’.
Your Proof of Payment can be a photograph or screenshot of your banking records showing the deposit, or a bank deposit slip. (Refer Section 13)

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For queries, please contact the IYNZ Assessment Coordinator:
Kathleen Powell | kath@kiwibok.co.nz | 021 189 3818
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
example@example.com
Phone Number*

Area CodePhone Number
Age*
Profession/Job:*
Date and day of Assessment applied for:*
1. Have you sat this Level before? If so – when?*
2. When did you become a member of Iyengar Yoga New Zealand?*
3. When did you commence Iyengar yoga classes?*
4. Who has been your Primary Teacher?*
5a. With whom have you been doing your 20 hours/year Professional Development each year? Do you attend classes/workshops? If so, with whom? *
Referral Form

You can download the Level 1 referral form from https://tinyurl.com/IYNZL1referral. Ask your Teacher Trainer to complete and sign the referral form. This MUST be done at the time of submission in order for your application to be valid.
5b. Upload a scan or photograph of the Referral Form completed by your Teacher Trainer.*

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6. Have you been a member of any IYNZ Committees, if so please give details ? *
7. Where do you teach and how often? NOTE: Please provide detail such as the name of the yoga school/gym OR provide a description of the place you teach and the nature of the classes, e.g. private classes at work for 4 people/instructing family at home. *
CPR Certificate

Your CPR Certificate must be current for assessment day for your application to be valid. DO NOT submit your application if you have an out-of-date CPR Certificate as your application will not be valid.
8. Please attach a copy of your current CPR Certificate with your name clearly indicated on the file.*

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Your Home Practice

Please upload this as a separate document with your name clearly indicated on the page - maximum 1x A4 page.
9. Describe in detail your home practice. Include how often you practise, for how long and the asana and pranayama you include. *

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10. Please specify if you have any particular issues or injuries affecting your practice.*
11a. Have you studied at the Ramamani Iyengar Memorial Yoga Institute (RIMYI) in Pune?*

YesNo
11b. If YES, please outline the dates you have studied at RIMYI?*
12. Have you studied with any member of the Iyengar family? When and where?
Proof of Payment

The Level 1 Assessment fee is $NZ350. Online payment should be made to IYNZ: 06-0199-0081273-00. Reference: ‘Assess/Name’
13. Please upload your proof of payment for the assessment fee (be sure this includes your name AND the name of your bank account if different from the name under which you are applying). *

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Should be Empty:

IYNZ Level 2 Assessment Application

Referral Form

CPR Certificate

Your Home Practice

Proof of Payment