Form

Kripalu School of Ayurveda

*Please note: If you do not receive confirmation of this application, please email kripaluschools@kripalu.org
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The 650-Hour Ayurvedic Health Counselor Certification is a 2-part training that requires you to first complete the 200-Hour Foundations of Ayurveda program. Once you have successfully completed Foundations, you are eligible to seek enrollment in the second part of the certification track, the 450-Hour Clinical Training in Ayurveda program.

Please select the program for which you would like to apply:

First name*

Last name*

Postal Code

Country/Region

Best phone number to reach you at:*

Birthdate*

Year/Month/Day

With which gender do you identify?*

Emergency Contact Name*

Emergency Contact Phone Number*

Emergency contact relationship to you:

If you were referred by a Kripalu Yoga teacher or graduate from one of our Kripalu Professional Trainings, please indicate the teacher and/or graduate's name.

If you are applying for the 450-Hour AHC program, please indicate the date that you completed Foundations of Ayurveda.

Month/Day/Year

If you completed a Foundations of Ayurveda equivalent program at a school other than Kripalu, please indicate the name and location of that school and provide a school administrator name, title, email and phone number.

Where you prefer to do the program:*

Program date you would like to apply for:*

Current Job Title*

Number of Years in Current Job*

Name of Current Employer and Location

Previous Job Title

Number of Years in Previous Job Title

Are you fluent in English?*

Yes

If no, please describe your level of proficiency:

Please note Kripalu Teacher Training requires each student to be able to comprehend and respond with written and oral communication in English.

Short Answers
Please answer the questions below.

Explain your interest in Ayurveda, including your personal and professional goals within the field.*

Describe your knowledge of Ayurvedic philosophy and practice, including any personal experience with Ayurveda.*

Describe your personal experience with yoga philosophy and practice, including a description of your yoga practice, if you have one.*

The Kripalu School of Ayurveda is a rigorous program of study, involving regular yoga practice, lecture, experiential study, homework assignments, and written and oral testing. After reviewing the Kripalu School of Ayurveda curriculum online, what potential challenges do you foresee given the intensive nature of this program?*

Please describe your plans for incorporating your Ayurveda training into your personal and/or professional life.*

I acknowledge that I have read the admissions criteria and that all information submitted in this application is true and accurate to the best of my knowledge. I understand that incomplete or inaccurate information may result in my non-acceptance or dismissal from the program.

Checking yes below indicates your acknowledgment of the above and takes the place of your signature.*

Yes

Kripalu Center for Yoga & Health is a nonprofit educational organization dedicated to empowering people and communities to realize their full potential through the transformative wisdom and practice of yoga.

Kripalu School of Ayurveda

*Please note: If you do not receive confirmation of this application, please email kripaluschools@kripalu.orgIt may be that you have opted out of receiving our marketing emails.

*Please note: If you do not receive confirmation of this application, please email kripaluschools@kripalu.org
It may be that you have opted out of receiving our marketing emails.