Form

RISE™ Facilitator Training Application

*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.

First name*

Last name*

When did you participate in a RISE program with Kripalu? Please provide dates, location, and the facilitator's name if possible. Successful completion of the RISE program through Kripalu is a prerequisite for our facilitator training.*

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.

Current Job Title*

Number of Years in Current Job*

Previous Job Title

Number of Years in Previous Job

Are you fluent in English?*

Yes

If no, please describe your level of proficiency:

*Please note Kripalu’s RISE Facilitator 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.

How many years of experience do you have facilitating adult groups? Please explain group types and content focus.

Please explain any experience you have in the following areas: Yoga Teacher Training, Executive Coaching, Life Coaching, Integrative Yoga Therapy, Mindfulness Training, Meditation Training, Professional experience in mental health and wellness.

Describe your personal experience with yoga-based mindfulness practice, including a description of your personal practice, if you have one.

Please describe your plans for incorporating your RISE Facilitator Training curriculum into your personal and/or professional life. What are your plans to bring this programming out into the world?

The Kripalu RISE Facilitator Training is a rigorous program of study, involving 40 hours of lecture, experiential study, group practice, and individual practice teaching. Do you foresee any challenges given the intensive nature and expectations of the program?

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.

RISE™ Facilitator Training Application

*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.