Deepening Level: Warm-Hearted Awareness in Yin Yoga – Application Form

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First Name *

Last Name*

E-mail*

Street Address*

City / State*

Country*

Telephone

Birthdate (e.g. January 1, 1970)*

Gender

This course is only for women applicants.

Upload a head shot (up to 5MB)*

Prerequisites:

Have you completed a Primary (Level I) Insight Yoga Teacher Training Intensive (8 or 10 day) with Sarah?*YesNo

If YES, please say where and when:

Have you completed the Secondary (Level II) Insight Yoga Teacher Training Intensive (5 day) with Sarah?* YesNo

If YES, please say where and when:

Have you completed one or more 5-day silent retreat(s) (preferably with Sarah and Ty Powers)?*
YesNo

If YES, please say where, when and with whom:

Have you completed at least 200 hours of Yoga training?* YesNo

If YES, please say when and with whom (preference will be given to those who have a minimum of 500 hours of training already):

Have you completed 25 hours of training with Paul Grilley or one of his endorsed teachers as listed on the
IYI Program Requirements page?* YesNo

If YES, please say where, when and with whom:

Have you had any psychological therapy or explored any of the Psycho-Spiritual Retreats listed on the
IYI Program Requirements page?* YesNo

If YES to therapy, please describe style of therapy, how often, when:

If YES to retreat, please say where, when and with whom:

Have you been practicing Mindfulness daily for a minimum of 24 minutes for at least 1 year?* YesNo

Tell Us More About Yourself:

Have you already been accepted into the Insight Yoga Institute?* YesNo

How long have you been teaching Yin Yoga?*

How many classes do you teach in a week?*

Currently, what is the focus/emphasis of your teaching?*

Of the three areas this course will focus on - subtle body awareness, psychological inquiry, mind training,
which one is the strongest in you, and which one is least developed? Why do you think so?*

Why are you interested in taking this course?*

What are your hopes by taking this course?*

Is there anything you fear might happen during or after the training? *
(We feel it can be very helpful to write about our hopes and fears, so please provide some detail in your explanation)

Yin Yoga

Have you completed any additional trainings in Yin Yoga?* YesNo

If YES, when and with whom:

Do you practice Yin poses on your own on a regular basis?* YesNo

Do you teach Yin yoga?* YesNo

If YES, for how long and how often:

Mindfulness Meditation

Do you have a meditation practice?* YesNo

If YES, please describe style of practice and include prior training information:

How would you define Mindfulness Meditation?*

Why do you want to learn more about Mindfulness Meditation?*

Physical

This course does not include a lot of physical postures, only a few Yin poses each class. Do you have any physical disabilities
that would impede your ability to participate in this training?* YesNo

If YES, please describe:

Are you on any medications for your physical and/or emotional well being?* YesNo

If YES, please describe:

Please describe how you feel in and toward your body?*

Where would you say your body center is?*

Emotional

Do you currently or have you in the past work(ed) with a therapist?* YesNo

If YES, please describe your experience and include if you have explored childhood and family of origin issues:

Have you experienced any major traumas in your life?* YesNo

If YES, please describe briefly what occurred and if you have had skillful support in integrating them:

How well do you feel you attune to others' feelings?*

Do you feel able to discern and manage your changing emotional states in simple private moments as well as in the company of others?*

Mental

Are you engaged in any mind training practices, such as Buddhist meditative disciplines, Lo Jong, mantra recitation, or chakra visualization?* YesNo

If YES, please describe the practice(s) and who your teacher(s) are:

Interpersonal

Please describe your level of interest in learning to listen and communicate authentically with a wide variety of individuals and groups.*

Psycho-spiritual

Please describe your level of interest in developing psychological healing and growth that enhances access to one’s essential nature.*

Commitment

Since this is an intimate group and we will be doing relational work with each other, we need each person to commit to coming to the entire training and engaging in all the material that this course asks of you. Are you able to do this?* YesNo