Western Sivananda Yoga Teachers Directory Application

Dear Applicant: Fill out this form to be included in the Western Teachers Directory. Visitors to the Sivananda Yoga Farm website who are looking for Sivananda Yoga classes in your area will be able to find out about you here!

To be included in the directory, you must:

• Be a graduate of a Sivananda Yoga Teachers Training Course.
• Reside in one of the following states: AK, AZ, CA, CO, HI, ID, MT, NM, NV, OR, UT, WA.
• Be actively teaching.
• Plan to visit the Sivananda Yoga Farm for at least one weekend per year (Expecially for the Sivananda Yoga Teachers Meeting on Sept. 19.

First Name: Last Name:

Spiritual Name:

Address: City:

State: AK AZ CA CO HI ID MT NM NV OR UT WA

Zipcode: Email:

Phone: Cell Phone:

TTC Location and Date:
ATTC Location and Date (If applicable):

Other related/complementary courses?

If you are affiliated with, a teacher at, or a resident of a SYVC, please describe:

if you are not affiliated with a SYVC, where do you teach?:

Teaching Specialties: Adult General Open Asana Class all levels Beginners Courses Seniors Yoga Children Disabilities/Limited Flexibility Stress Management Relaxation Pranayama Meditation Kirtan Positive Thinking Courses Vegetarian Cooking Ayurveda Jyotish Yoga of Recovery Other Body Therapies and Health Practice Anatomy Philosophy Sanskrit

Photo: Photos must be jpegs and exactly 100 pixels wide by 133 pixels high. Photos not prepared this way will be rejected by the form processor.

Statement (Up to 50 inspirational words about yourself as a teacher and yogi):