I would like to apply for the Teacher Training / Continuing Studies program:
First Name:		Last Name:
Address Line 1:		Address Line 2:
City:		State/Province:
Zip/Postal Code:		Country:
Home Phone:		Work Phone:
Mobile Phone:		Fax:
Email Address (enter twice to verify):		Web Site:
Gender:	Male Female	Age?:
Best method and times to reach you?:
Are you fluent in Written English?		Are you fluent in Spoken English?
Mother Tongue:		Other Languages:
How did you hear about our program?: Why are you interested in our program?:
Background and experience with yoga:
How do you plan to utilize your training? (check all that apply):	Teach Full Time Teach Part Time Enhance/further your own personal practice Apply in your profession - Please specify:
Have you studied in the Himalayan Tradition of Swami Rama?		Are you an initiate? Year? Who initiated you?
Do you have an established daily practice? Hatha? Meditation? For how long?:
With whom/within what tradition(s) have you studied? Are you certified?:
Have you taught yoga? If so, how long and what type or style?:
What are your interests outside of yoga?:
Please tell us anything else about yourself, background, interests, etc.?:
Which retreat do you anticipate attending? Separate registration is required for the retreat, please register as early as possible. 200 hour program currently not available at retreats in India
	As part of being enrolled in the program, you are required to have a mentor. If you wish you can recommend a mentor, perhaps your current yoga teacher. Fill in the following information to suggest a mentor: Mentor's Name: Mentor's Email: Mentor's Phone:
I have thoroughly read and understand this multifaceted program and hereby apply for acceptance into:		Teacher Training - 600 Hours - all 3 levels - $2,400 Teacher Training - 200 Hours only - $1,400 Not available at retreats in India Teacher Training - 600 Hours - Level 1 only - $800 Teacher Training - Level 2 Only - must have previously completed the 200 hour or Level 1 program - $800 Teacher Training - Level 3 Only - student must have previously completed the Level 2 program - $800 Continuing Studies - Level 1 - $800 Continuing Studies - Level 2 - $800 Continuing Studies - Level 3 - $800 Continuing Studies All Levels (1, 2, and 3) - $2400 These prices are subject to change on an annual basis.