NSR Application Form

Yoga Teacher Training Application January 2-April 6, 2025

Application Deadline - December 15, 2024. Scholarship Deadline -November 15, 2024
If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.
I. Personal Data:

Tell us about yourself
Full Name*

First NameLast Name
Birthdate:*

MonthDayYear
Mobile No. :*

Area CodePhone Number
E-mail :*
Where the confirmation will be send to
Instagram Handle
Facebook Name
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Gender:*

MaleFemaleOther
Most recent education you'd like to share.

High School/GEDTrade School4 year universityCertificate programOther
Are you a US citizen?

YesNo
Ethnic Origin:*

Native American/ First NationsHispanicAsianAfrican AmericanCaucasianOther
If you answered Native American/ First Nations, what is your Tribal Affiliation?
Please upload an image of you in any yoga pose (sure savasana is acceptable :), but we'd love a little more)*

Browse Files

Cancelof
Please upload a headshot*

Browse Files

Cancelof
How did you hear about Native Strength Revolution?
II. Yoga Life
Do you currently work with*

YouthEldersMental HealthRecoveryDiabetes or other health initiativeCultural enrichmentTrauma/ AbuseOther
Tell us where, what type and how long you've been practicing yoga. Including if you've taken NSR classes or classes from an NSR teacher.*
How often do you practice yoga?*

Every day3-6 times a week1-2 times a weekLess than once a weekOther
How has yoga affected your life?*
Do you currently teach any group classes or health related classes?*

YesNo
If you answered yes, please elaborate
Do you pray, meditate or participate in any traditional ways?*

YesNo
If you answered yes, please elaborate
Why do you want to become a yoga teacher?*
Why is healing important to Indigenous communities?:*

0/1000
Tell us what you plan to do with this training.*

0/1000
Will your work or community help pay for continuing education?

YesNoDon't Know
III. Scholarship Essay

(Required only if applying for scholarship funds) Should you agree to receive a scholarship, you agree to teach 10 share-back Zoom classes on our app over the span of 1 year AFTER graduation.
Your essay should be 300-500 words. You should address in your essay: your personal development goals, teaching goals, why you want to make a difference in your community, what you intend to do with your certification and why a scholarship is important to you. Include any accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration. Don't be shy! Tell us why you're a game changer!
Essay:

0/500
IV. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:*
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Name

First NameLast Name
Should be Empty:

Yoga Teacher Training Application January 2-April 6, 2025

I. Personal Data:

II. Yoga Life

III. Scholarship Essay

IV. Applicant's E-Signature

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