Apprenticeship Application Form

Ayurveda Apprenticeship Application
Name*

First NameLast Name
E-mail*
Cellular Number

Area CodePhone Number
Website or Business Name if applicable
Which Apprenticeship Track are you applying for?

Professional/Practitioner levelSelf empowerment level
Have you ever taken a class with me? If so, which one?*
Tell me about your training in Ayurveda and other healing modalities that might be relevant to this mentorship and your offerings. *
Are you a certified NAMA Ayuveda Professional? (Again, not required.)

yesnono, want to beno, used to be
Do you actively work with women in a clinical or group setting? If so, what does your work look like?
In the Practitioner level apprenticeship, would you like the opportunity to contribute clinical cases for review in the group? (This is not a requirement.)
How long have you been actively practicing Ayurveda in a clinical way? (Does not have to be full time.)

I am a recent graduate and want to feel more confident in starting my work with women1-3 years4-6 years6 plusOther
What would you most like to get out of this Apprenticeship:*

Clinical support with client casesFocused herbal studyFocused study from classical texts/reading homework and discussionBusiness start-up or development supportLearning about hands-on healing tools to help womenWalking my talk and practicing Ayurveda more in my own bodySelf healingGetting marketing help/social media presence and mailing list supportLearning about making my own herbal medicinesOther
Thank you! After you submit this form, you will go to my calendar and schedule a 20 minute call to discuss your application and registration.

Love,

Adena
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Ayurveda Apprenticeship Application