APPLICATION FOR AYURVEDIC KITCHEN APPRENTICESHIP PROGRAM

ALL INFORMATION ON THIS FORM IS CONFIDENTIAL

BASIC INFORMATION

NAME ________________________________________________________DATE _________________

ADDRESS ______________________________________________CITY _________________________

STATE_________________________ ZIP_________________ COUNTRY_______________________

PHONE: HOME _____________________________ CELL ___________________________________

EMAIL ______________________________________________________________________________

BIRTH DAY _________________BIRTH TIME ____________ LOCATION _____________________

OCCUPATION _______________________________________________________________________

FOR WHICH TRAININGS ARE YOU AVAILABLE:

Hatha: October ’16 January ‘17 June ’17 October ’17 Advanced Yoga: July ‘17

Kundalini: November ’16 November ‘17 Chakra: November ’16 April ’17 November ‘17

PERSONAL INFORMATION 1. How did you hear about 7 Centers Yoga Arts and our program?

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2. What is the main reason for your interest in this program?

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3. List three things you hope to learn/accomplish from an Ayurvedic Apprenticeship:

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4. What is your experience with Yoga? How long have you been practicing, where and with whom? What are

the most rewarding and challenging aspects of your practice?

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APPLICATION FOR AYURVEDIC KITCHEN APPRENTICESHIP PROGRAM

ALL INFORMATION ON THIS FORM IS CONFIDENTIAL

5. Are you a graduate of one of our trainings? If so, which one and when?

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6. What is your experience with Ayurveda? Do you have any plans to implement the knowledge you gain here?

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7. Please provide two personal references (Name, Phone Number, Email):

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8. Please write a short bio including any other pert inent information here:

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PLEASE RETURN COMPLETED APPLICATION TO: 7 Centers Yoga Arts

2115 Mountain Rd, Sedona, Az 86336 You can email a copy to yoga@7centers.com

Email or Call 928-203-4400 with any Questions