The Aquarian Trainer Academy PO Box 1819, Santa Cruz, NM , Fax:

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1 The Aquarian Trainer Academy PO Box 1819, Santa Cruz, NM , Fax: Level One Teacher Trainer Application Form INSTRUCTIONS: Please print legibly and fill out all parts of this application. Fax, mail or scan but send only once. We do not need originals as faxed or scanned applications are legal. Date of Application (month/day/year) Legal Name Date of Birth (month/day/year) Spiritual Name Postal Address City State/Country /PostalCode Work # Home # Cell # Fax# address Profession Please provide the following information regarding ATA requirements: 1. Year KRI Certified Level One Lead Trainer/Location Please attach a copy of your Level One certificate to the application. 2. Year KRI Certified Level Two Please attach a copy of your Level Two certificate to the application. If you are not Level Two certified please provide an explanation as well as your plan to complete this requirement on a separate piece of paper and attach to this application. 3. Letters of Recommendations (please provide name, city and country) Lead Trainer who you will mentor with Lead or Professional Teacher Trainer recommendation 4. I am currently a Professional member of the International Kundalini Yoga Teachers Association (IKYTA) or of my National Association having renewed on: (month/day/year) 5. List 3HO Events that you have attended in the past 3 years:

2 Please circle an answer YES or NO to ALL of the following questions: If the answer is no please provide a written explanation on a separate piece of paper and attach it to this application. Please note that even if you answer no to any questions, your application will still be considered with all due fairness. 6. I have taught a minimum of 1000 hours of Kundalini Yoga classes since receiving the KRI Level 1 certificate. Yes No Total Number of Hours Taught Please attach a list summarizing these classes using the form provided at the end of the application. 7. I currently contribute Gurudakshina or contribute regularly to The Yogi Bhajan Library of Teachings (Go to for more information). Yes No 8. I have a strong participation in group sadhana when and where possible, or practice of personal sadhana. Yes No 9. I have read and understand my commitment to living my life in accordance with the Code of Excellence for Kundalini Yoga Teachers which includes the yogic lifestyle requirements that I abstain from tobacco, alcoholic beverages, drugs (other than prescribed by a physician) and eat a vegetarian diet. Yes No 10. I have no physical, mental or background issue that will prevent me from properly performing as a KRI licensed Teacher Trainer. Yes No My signature verifies that I understand the application process as outlined in the cover letter and wish to apply as an applicant for the KRI Aquarian Trainer Academy. I give my oath as a conscious being that all information provided in this application is true to the best of my knowlege. I understand that providing incorrect information is grounds for the denial of this application, or suspension, or expulsion from the KRI Aquarian Trainer Academy. I understand that KRI may revoke my participation in the KRI Aquarian Trainer Academy for cause, including but not limited to ceasing to meet one or more of the requirements for license, or failure to uphold the standards set forth in the Code of Excellence for Kundalini Yoga Teachers. I recognize that KRI retains the right to review my credentials or to request updated information at any time. I offer this application with the commitment to serve all. Signature (Legal Name) Date Printed Legal Name Spiritual Name (If different) Additional information (optional): o Please indicate if you have received training in another form of yoga or in a discipline which you find complimentary to your yoga practice: o Are you currently a member of Yoga Alliance or any other yoga association? Yes No o Name of association: o Will you attend Summer Solstice, Winter Solstice, or the European Yoga Festival this year or next? If so, please indicate which event you will be attending by circling it in the above sentence.

3 This page is a summary page and does not need to be included in your application. The following should be enclosed with your application: A Signed and completed Application(we do need your signature, faxed or scanned are OK) Copies of both your Level One and your Level Two certificates.(if you are not Level Two certified please attach an explanation and your plan for completing the modules.) List of teaching hours. (If you do not have 1000 of teaching, explain the commensurate experience you believe prepares you to become a Teacher Trainer on a separate piece of paper.) The written answers to the Applicant Questions. Signed and dated Code of Excellence. Use your legal name. (Initial and date the first page) Two letters/ s of recommendation (may be sent separately). My Payment Form and my application fee of $108.00, which I understand includes my licensing fee for my time as an intern in the Training Academy. A recent photo of myself. (head shot) A completed Competency Evaluation Form IMPORTANT NOTE: Once your application has been received IN FULL, KRI will contact you about scheduling an interview. Interviews take place at Summer Solstice, Winter Solstice and at the European Yoga Festival, so you should plan to attend one of these events. The deadlines for submission of your full application are: By May 20th for a Summer Solstice interview. By June 30th for a European Yoga Festival interview. By November 30th for a Winter Solstice interview. Any applications received later than these deadlines will be too late and an interview will not be scheduled for that event. Following your interview, final approval and official notification of your entry as Intern will occur once the Certification Review Committee approves your application. This committee meets at Khalsa Council time in New Mexico during the spring and fall. If your application is declined,kri will clearly outline the reasons.

4 Classes taught since Level One certification: Please summarize and total each page at the bottom. Course Title Where Taught Dates Type* # Students Hours * C = class which is from hours; W = workshop; TT = Teacher Training TOTAL

5 Course Title Location Dates Type # Students Hours * C = class which is from hours; W = workshop; TT = Teacher Training Grand TOTAL