Sunrise Teacher Training & Enrichment Program ApplicationNOTE: Don't worry if you can't complete this form in a single session. You'll have the opportunity to save your progress and continue your application later.I am applying for:*Enrichment Program / ($25 non-refundable application fee)Certified 200-Hour Teacher Training Program / ($25 non-refundable application fee)Certified 300-Hour Teacher Training Program / ($25 non-refundable application fee)Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell PhoneHome PhoneWork PhoneDate of birth (optional) Date Format: MM slash DD slash YYYY Email* Enter Email Confirm Email Emergency Contact Name* First Last Emergency Contact Phone*How did you find out about the Sunrise Yoga teacher-training program?How long have you been practicing yoga?Why did you begin the practice of yoga?List your primary instructors, past and present:How often do you attend yoga classes?Describe your personal home practice, if any. Include number of times each week and average amount of time spent per practice.List all physical injuries, limitations and medical conditions.Note: This has no bearing on your acceptance! This information is used to help your instructors prepare modifications or alternate postures for your practice, and is treated with strict confidentiality.Do you currently see a health care professional in relation to anything noted above, e.g. physician, chiropractor, physical therapist or other health care professional? If, yes, please describe.What do you feel yoga has done for you?Why do you want to enroll in this program?If you are a graduate of a 200-Hour yoga teacher training program (other than Sunrise Yoga), please provide the following:Name and location of the 200-hour teacher training school:Date of graduation Date Format: MM slash DD slash YYYY Name and phone number of primary contact at that school:If you currently teach yoga, or have taught yoga in the past, please answer the following questions:Where do you (or did you) teach yoga?How long have you been teaching?How many classes a week do you teach?Describe the style of yoga you teach (e.g. flow, alignment, etc.)?Are you currently a Yoga Alliance RYT (registered yoga teacher)?YesNoPlease check that you understand the following:* I understand that acceptance into the Sunrise Yoga Teacher Training Program is contingent on a personal interview with Valerie Kiser, Program Director, and that I am responsible for contacting Sunrise Yoga at 336-778-1233 to schedule that interview. I understand that the application process also requires attendance at a Sunrise Yoga Teacher Training Open House or a Level 2 or above yoga class (as appropriate for my current level of practice) instructed by Valerie Kiser at Sunrise Yoga, and that I am responsible for advising Sunrise Yoga that I have met that requirement. The class schedule and Open House dates are found at www.SunriseYoga.net.Total non-refundable application fee: $0.00 Please check how you would like to pay:*I will pay onlineI will mail my checkI contacted the Sunrise Yoga business office at 336-778-1233 and paid my non-refundable application fee by credit cardPlease check that you have completed the following:* I have read the attendance requirements of the Sunrise Yoga Teacher Training Programs and foresee that I will be able to attend all sessions and complete all course requirements for the program I have selected (this includes outside workshops for 300-hour applicants). If not, please attach explanation. I have read and agree with the policies set forth by Sunrise Yoga for the program for which I am applying, as stated in the policy handbook on the Sunrise Yoga website.Your full name*NameThis field is for validation purposes and should be left unchanged.