Sivananda Yoga Health Educator Training


About Sivananda Yoga
Health Educator Training

Module 1

Module 2

Module 3

Module 4



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Personal Consultation




Date, Time, and Location of Birth
Sex: Male     Female    
Marital Status:
Address, City, State, Country:
Day Phone
Evening Phone:
Languages written or spoken
  Medical and Emergency Information
Emergency Contact:
Emergency Contact Email:
Emergency Contact Phone:
Emergency Contact Address:
  Experience and Skills
Education (formal, informal, or specialized):
Name of your 200-hour Yoga Teacher Training Course, location, and year
Do you have yoga asana or meditation teaching experience? Approximately how many hours?
Other Yoga and/or meditation training (include names of teacher's systems and include teacher training dates and locations):
Are you a member of the Sivananda Yoga Vedanta Centers (SYVC)?
Have you visited a Sivananda Yoga Vedanta Center or Ashram? If so, which?
  Please list three personal references:
Reference 1 (Name, Email, Phone):
Reference 2 (Name, Email, Phone):
Reference 3 (Name, Email, Phone):
Please describe your current state of physical and mental health Excellent     Very Good     Good     Fair     Poor    
Please describe your history of drug or alcohol use:
Do you have a history of mental illness? Have you ever been in a psychiatric hospital? If yes, please explain.
Are you vegetarian or willing to be?
How did you learn about the Sivananda Yoga Health Educator Training
Is there anything else we should know or that you would like to tell us:
Where will you reside during the training?
Are you available for all the classes listed in the curriculum?
Please indicate your deposit and confirm your payment plan.
Please write a paragraph or two on why you would like to be a Yoga Health Educator, how you plan to apply your training upon completion and your goals.