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TANTRA YOGA TEACHER TRAINING APPLICATION
This application is confidential, and will only be seen by the organizer and the teachers. Please respond to all the following questions as fully as possible. Allow 15 minutes to answer all the questions. You need to complete the entire form, you cannot save your answers. Contact Dharmaraj at dharmaraj@tantra-essence.com with any questions or issues.
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Name
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Email
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Telegram Account or Phone Number
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Address
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Nationality / Ethnic Background
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Profession
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Current Occupation
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Gender
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Select Gender
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Age
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If female, are you pregnant? If so, when is the approximate due date?
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Emergency Contact Person Name
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Emergency Contact Person Email
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1. How did you find out about this training?
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A friend recommended
I'm a return student
Other
If Other, Please specify:
2. Why would you like to participate in this training?
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3. What is your experience with Personal Development?
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4. What is your experience with Breath-work? Please describe.
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5. What is your experience with other Disciplines of Meditation, which ones and for how long?
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6. Have you explored any spiritual path deeply? If yes, which path/paths, and for how long?
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7. What is your experience with emotional release work, what kind and for how long?
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8. What is your experience with Osho Meditations, which ones and for how long?
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9. What is your experience with Energy Work? Please describe.
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10. What is your experience with Yoga? What lineages of Yoga have you worked with and for how long? Please describe.
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11. Have you been trained in Holistic Healing? Please list the healing techniques you are able to offer professionally.
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12. Have you studied Massage/Body Work? If so, which kinds? How much experience do you have in giving and receiving massage?
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13. Do you have experience with theatre, dance, arts, or choreography? If so, please describe.
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14. Do you have any experience in teaching, facilitation or public speaking? Please describe.
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15. Have you been trained in psychotherapy, or professional counselling? If so, please give details about your qualifications.
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16. Do you have any experience of Kundalini Energy? Please describe.
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17. What previous experience do you have with Tantra? Please list groups and duration of groups you have participated in.
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18. Please list the Tantra Teachers you have worked with. What Tantra lineages have you been involved with?
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19. Have you been trained in Sexual Healing? If so, by whom and how much experience do you have in this healing modality?
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20. Please describe how you have been experiencing your sexuality, now and in the past.
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21. Please describe how you have been experiencing intimate relationships, now and in the past.
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22. What is your sexual orientation? Heterosexual? Homosexual? Bi-Sexual? Or other?
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23. Please describe how you take care of your health and what is your current state of health?
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24. Please describe your style of eating: During the average week, how much of the following do you consume?
• Processed Foods (junk food, fast food, microwave ready food, sodas, candy, etc…)
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• Meat (red, white, etc.)
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• Fish
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• Vegetarian
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• Vegan
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Plant based whole foods
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• Raw
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• Processed Sugar
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25. What are your hobbies? What do you enjoy to do in your free time?
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26. Are you currently on medication, if so what kind?
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27. Have you ever been treated for any psychological problems/ depression? If so, please give details.
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28. Do you have any physical injuries that could prevent you from practicing Yoga?
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29. Are you suffering previous or ongoing Physical injury? If Yes, please specify.
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30. Are you overweight or underweight to such a degree that your practice of Yoga may be difficult?
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31. Are you suffering from psychological / emotional trauma?
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32. What strengths do you feel you have that will support you in the Tantra Yoga Teacher Training?
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33 What is your experience with drugs, nicotine, and alcohol, now and in the past? Please describe your consumption (when, what, how much, etc…).
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34. What are the areas you feel you need support, to draw out your potential, and that you wish to develop through the Tantra Yoga Teacher Training?
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35. What are your long-term aspirations?
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36. Do you speak and write fluent English? If not, please explain.
37. Is there anything you would like to add? How are you feeling in your life at this time?
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I agree that recreational drugs and alcohol consumption are strictly forbidden during the Duration of the Training. *
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I affirm that the information provided on this application form is true and complete to the best of my knowledge. False, incomplete, or misleading information is grounds for rejection of this application, expulsion from the program, or revocation of certification after completion of the program. *
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I confirm that I have read the guidelines, terms, conditions, privacy policy and cancellation policy of Ojas Vedic Academy in collaboration with Tantra Essence and MYT Yoga Schools*
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I understand that non-observance of the Tantra Yoga Teacher Training rules can result in expulsion from the program. *
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I agree this is a professional training and it is important to attend and be on time and participate fully for all the structures in the training. *
Signature
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Date / Time
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