Self Study Certificate Program – Application Please make sure you have reviewed all details of the Self-Study Pilot Program and the ‘normal’ Certificate Program prior to applying. Review Self Study Pilot Program Review Standard Certificate Program Rolling Application About You:Please confirm your full name:(Required) First Last Email(Required) Enter Email Confirm Email Your Location(Required) City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Please confirm your Yoga Professional certification.(Required)This training program is for experienced yoga teachers ONLY. Please review details on the program registration. +200 Hour Yoga Training Certificate +300 Hour Yoga Training Certificate +500 Hour Yoga Training Certificate Do you have any other professional training or experience? Select as many that apply.(Required) Physical or Occupational Therapist Doctor or MD Nurse or Nurse Practitioner Hospital Administrator Massage Therapist Other None. Please provide details of your yoga training or lineage. How long have you been teaching?(Required)This program is not recommended to new yoga teachers. Please explain your experience with online and / or self-study training programs.(Required)Please explain why participating in the Pilot for the Self Study is motivating to you.(Required)What else would you like us to know about you?Specific Program Requirements:Self-Study Learning Requirements: I excel in self-directed learning environments. I am adept at finding answers to my questions with minimal assistance. I am self-motivated and capable of completing tasks without needing external support or reinforcement. I embrace challenges as opportunities for learning and growth.Consent(Required) I agree the above ‘Self Study Learning Requirements’ describes me.Digital Literacy Skills of the Pilot: I have access to a computer or a smart device with a keyboard and high-speed internet. I have substantial experience with online courses, watching videos, submitting forms, and navigating online learning systems. I am proficient in basic troubleshooting for common technical issues.Consent(Required) I agree the above ‘Digital Literacy Requirements’ describes me.Please record a short video and upload.(Required)The video should say only the following. ‘YOUR NAME’ and I am interested in the Self Study Pilot.’ Please note we are looking to assess your ability to do the technical process of video recording and uploading. Only MPV or MOV files will be visible. Max. file size: 1,000 MB. ** Important Note: Please note upon successful submission you will be provided a confirmation message and email. If you do not receive these confirmations, your application has not been successfully sent nor received.** NameThis field is for validation purposes and should be left unchanged.