Duke Health & Well-Being

Application for Mindful Yoga for Cancer Professional Training

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If you have any problems signing into the system or submitting your application, please contact dukesupport@learning.net.

Username/Email:
	You must enter a valid email address as username to access this system.
Password:	(Passwords need to be at least 8 characters and include at least three of the following: upper case letters, lower case letters, numbers and symbols.)
Password Again:

First Name:
M. I.:
Last Name:
Phone Number:
Other Phone Number:

Street Address:
City:
State/Province:
* State/Province:
Zip Code:
Country:

Please indicate your current level of training:	RYT 200 RYT 500 E-RYT 200 E-RYT 200, RYT 500 E-RYT 500 RYT 200 or RYT 500 training currently in progress Other Required Other
When did you complete the yoga teacher training program indicated above?
How long have you been teaching yoga?
What schools of hatha yoga most inform your teaching?	Anusara Ashtanga vinyasa Bihar Iyengar Kripalu Jivamukti Sivananda Other Required Other
Please describe any experience you have teaching yoga to people healing from cancer.
Please list any other experience (either personal or teaching) that is relevant to working with this target population.
Please list any specific questions or topics areas you would like to see covered in the program.
How did you hear about this program?	Internet search of yoga teacher continuing education programs Advertisement Direct mail piece (i.e. brochure, flyer, postcard) FaceBook LinkedIn Referred by colleague / employer / friend I received an email notice I read a journal / magazine / newspaper article I heard about this course while participating in another Duke IM program Other Required Other
By submitting your application you attest that all of the information you have provided is complete and factually correct. If it is not, Duke Integrative Medicine reserves the right to rescind your application or void your enrollment.

Application for Mindful Yoga for Cancer Professional Training

Already a registered user? Sign in to apply! If you have any problems signing into the system or submitting your application, please contact dukesupport@learning.net.

Already a registered user? Sign in to apply!
If you have any problems signing into the system or submitting your application, please contact dukesupport@learning.net.