Svâdhyâyâ Yoga ™ 
                 200-Hour Yoga Alliance Registered Teacher Training
           at Silver Lotus Training Institute and Center for Healing Arts
                              Application/Registration Form

(You can cut and paste this form into MS Word or compatible word processing software OR 
cut and paste the form and your responses directly into the body of an e-mail.  
E-mail the application to Susan Hamadock, MA, MSW, LCSW-C, RYT, Founder and Director, Silver Lotus Training Institute & Center for Healing Arts at sjhrb@aol.com)


Application:

Name:______________________________________________ Date:___________________

Permanent Address:________________________________________________

Phone #(s) Home: _____________ Work: ___________ Cell:___________

E-mail address: ____________________



1.	Why do you want to take Yoga Teacher Training at this time?  
Use an additional sheet of paper if you wish.













2.	Who has/have been the most influential yoga teacher/teachers in your experience and why?  
Use additional paper if necessary.












3.	What is your intention in taking this program?  
What do you hope to gain?  
Upon completion of the program, how do you see yourself serving the advancement of Yoga? 
Do you plan to teach?  If so, in what setting?  
Are you taking the course to advance your own knowledge and experience of Yoga?






4.	What are your learning edges? 
This question is seeking to know your own observations and description of how you learn.  
For instance, some answers in the past have included: 
“I need a lot of repetition,” 
“I have a lot of pain, so sometimes I find it hard to be still,” 
“I am a visual learner and find it easiest to use pictures and images along with the spoken word,” etc.













5.	Please interview a yoga teacher who has been a positive role model.  
Write the highlights of that interview.  
Describe that teacher’s history with yoga, her/his philosophy and any other elements, which you feel are important.  
Have fun with the interview!



















6.	Please ask your teacher to write a brief letter of recommendation for you, i.e., 
what will make you a good candidate for this training program?  
Please e-mail your teacher’s recommendation with this application or ask the teacher 
to e-mail the recommendation separately to sjhrb@aol.com or 
mail the recommendation to Susan Hamadock, MA, MSW, LCSW-C, RYT, Founder and Director, Silver Lotus Training Institute & Center for Healing Arts at 19633 Blue Bird Lane, Rehoboth Beach, DE 19971.  Mailed payments should be made out to Silver Lotus Training Institute  and sent to 19633 Blue Bird Lane, Rehoboth Beach, DE 19971