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Last Name
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State
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ZIP Code
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Position Type
teacher
assistant
other
RYT Certified?
Check the box if you have RYT 200 Certification.
Experience/Practice
If you're an RYT-200, please describe your qualifications and/or practice here. If you're not RYT, please describe your practice.
Education or Trainings
Yoga training and/or other education, trainings, etc.
Community Experience
Describe all experience you have interacting with this community or similar communities.
Other Experience
Availability
Communities
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At-risk Youth
HIV/AIDS Patients
Seniors
Cancer Patients
Domestic Violence Survivors
Female Only
Homeless
Eating Disorder Patients
Obese
Torture/Trauma Survivors
Prison
Sexual Assault Survivors
Immigrants/ESL
Underserviced Population
Any of the above
Please check the boxes next to any communities you would like to work with.
Personal References
Please list at least 2 personal or professional references.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Math question
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11 + 3 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
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