Advanced Pranayama (Online) Application

Name*
First Last
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Phone Number*
Are you interested in taking this course for certification or non-certification?*
- I am an Ananda Yoga Level 1 teacher or Bridge graduate and would like to take this course towards my Level 2 certification
- I am a 200-hr Yoga teacher, but I am interested in Bridge to Ananda and Ananda's Level 2 certification
- I am a 200-hr Yoga teacher, but I am not interested in Level 2 certification through Ananda
Are you a kriyaban?*
- Yes
- No
If you are a 200-hr yoga teacher, can you email your certificate to Melody Hansen at melody@expandingligh.org? (If you are an Ananda Yoga Level 1 teacher you do not need to send the certificate. Please indicate this in the field below)*
Morning classes are mandatory for online participants. Please select below all the classes you will be able to attend.*
- Monday Sept 4 - 9:00AM PT - 12:30 PM PT
- Tuesday Sept 5 - 6: 30 AM PT - 12:30 PM PT
- Wednesday Sept 6 - 6: 30 AM PT - 12:30 PM PT
- Thursday Sept 7 - 6: 30 AM PT - 12:30 PM PT
- Friday Sept 8 - 6: 30 AM PT - 12:30 PM PT
- Saturday Sept 9 - 6: 30 AM PT - 12:30 PM PT
In order to receive certification, you can only miss one morning class and you will have to watch the recording and complete an additional assignment. Please indicate below that you agree to this condition.*
Online participants will have to complete additional assignments during Sept 9 - Sept 23 and attend a final live session on Sept 23, 2023 from 9:30 AM -12: 30 AM PT. Please indicate below if you are able to comply with this requirement:*
- Yes
- No
Which style(s) of yoga do you practice and how long (months and/or years) have you been practicing?*
Which style(s) of Hatha Yoga are you certified to teach?*
Approximately how many hours of teaching experience do you have?*
Are you currently teaching yoga? If so, who are your typical students?*
Are you registered with Yoga Alliance?*
Have you practiced Ananda Yoga? If so, how much? If not, why have you chosen Ananda's training and what do you hope to gain from this course?*
Ananda takes a classical approach to Yoga: as an aid in the quest for Self-realization, for union of soul with Spirit. Although Ananda Yoga Teacher Training takes place in that spiritual context, trainees are not expected to follow Ananda’s spiritual path; we encourage you to grow on your own path. Does this seem like a good fit for you?*
- Yes
- Not sure
Do you practice meditation? If yes, how often and how long do you practice?*

This is not a prerequisite for the course.
Medical Questionnaire: What is your birthdate? (Day, Month, Year)*
Please briefly describe your current overall health.*
Describe your history (include dates) of back/spine/neck problems, and indicate if you are currently having any issues. Please be specific.**
Describe your history (include dates) of joint problems (knee, hip, shoulder, etc.), including joint repair/replacement surgeries. Please be specific.*
When was the last time your blood pressure was checked and was it normal, high, or low?*
Are you pregnant? If yes, when is your due date?
Are you currently seeing, or have you seen in the last 5 years, a physician or therapist for any physical or mental/psychological conditions? If yes, for what conditions?*
Are you currently taking medication for any physical or mental/psychological conditions? If yes, what medications, for which conditions, and how frequently?*
If you have any learning disabilities, or other special physical or mental/psychological circumstances, please explain below.*
Please check any of the following difficulties you have had and explain relevant specifics in the next question.*
- Diabetes
- Stroke
- Seizures
- Eye condition
- Frequent dizziness or falls
- Osteopenia-Osteoporosis
- Chronic Headaches
- Asthma
- Cancer
- Anxiety/Depression
- Trauma
- Abuse
- PTSD
- Addiction
- Substance Abuse
- Insomnia
- Other
- None of the above
Please explain the above health conditions you checked off in greater detail and with relevant dates.
Please share any other personal information that you feel we should be aware of, or concerns that you may have about this course.
Emergency Contact Name*
First Last
Relationship*
Emergency Contact Phone Number*
Emergency Contact Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Are you a Registered Nurse looking to receive CEUs for this course?*
- Yes
- No
RNs will need to fill out an additional application to begin this process.
How did you first find out about this course?*
If a teacher/friend referred you to this program, may we please have their name so we can thank them?
Terms & Conditions for Advanced Pranayama Online
Participants must agree to the following terms & conditions for this course:

a) You will not share the course materials with anyone.

b) For Ananda Yoga and Ananda Meditation teachers, credit toward advanced Ananda certification after this course depends upon:
- Satisfactory performance on all assignments (including on-time completion).
- Full, regular, and meaningful participation in all course activities.
- The faculty’s assessment of your teaching.
c) For Ananda Yoga and Ananda Meditation teachers seeking advanced certification, course requirements include the following tasks, for which Ananda does not provide technical support:
- Practice teaching to a classmate via Zoom.
- Making a video of a teaching assignment, and posting it (not publicly) on YouTube or a similar service. Videos can be made with a smartphone, tablet, computer, etc.; no special video equipment is required.
d) Cancellation Policy: If you cancel before the start of the program, your payment will be refunded, less a $150 processing fee. If you cancel within 7 days of the start of the program, your payment will be refunded, less a $250 processing fee. If you after the start of the program, the full program cost will be forfeited.
Accept Terms and Conditions
- Yes, I accept the terms and conditions.

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