Mindful Movement Community Teacher Training Application Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth * MM DD YYYY Please share your professional title. Student School Teacher Community/Non-Profit Leader Faith-Based Leader Entrepreneur Medical Professional (Nurse, Doctor, etc) Other (please share below) How did you find out about the training? What teaching/leadership skills do you currently embody that would support your future work? How long have you been practicing yoga? As a part of this training, you will receive a 200 hr yoga teacher certificate. Please share your experience with yoga. This will be my first time. Less than one year 1-3 years 4-6 years 7+ years Tell us about your current experience with yoga (mindfulness, movement, meditation). Share how it has impacted your life. Please provide a description of your typical weekly yoga practice, including your preferred styles of practice. How do you plan to apply your leadership skills , yogic philosophy and community-based education to your life and work? Please share any leadership, mindfulness or yoga-related teacher trainings that you have attended before. In none, list N/A. Please list any health, education, or work conditions that may affect your participation during the next 4-months. If none, list n/a. Please share anything else that you'd like us to know. Commitment Agreement The Mindful Movement Community Teacher centers self awareness, community-based teaching, education and leadership development. The 3-month training requires a commitment to the following: Attendance at all program dates (virtual/in-person) 30 Group Classes 3 Class Observations Completion of all assignments Training Terms and Conditions * I understand that this training will require me to fulfill all hours listed that include, but not limited to, in-person, virtual, and at-home study hours. I understand that I am fully responsible for any sessions or assignments deemed as missed or unsatisfactory. I understand that if I miss required sessions, then make-up dates are not guaranteed. Any make up sessions will be determined based on the availability of the lead faculty and may take place during or after the provided program session dates at an additional cost. I understand that it is my responsibility to communicate any physical, mental, emotional, economic or social condition that may conflict with my completion of this training. I understand that acquiring a certification of completion requires 100% attendance at all required sessions, completion of all assignments and service hours, proficient knowledge of curriculum materials as assessed by lead faculty, and full tuition payment by date of graduation. To complete registration, a deposit must be made to secure a space. All deposits are non-refundable. Please select below if you agree or disagree with listed terms and conditions. I Agree I Do Not Agree Thank you! Please email meet@thewellcollective.space with any additional questions.