FARAWAY 675 APPLICATION FORM

To apply by mail, print this form, fill out completely (please print legibly)
and mail with $20 application fee to:

YOGA MENDOCINO 206#A Mason Street
Ukiah, CA 95482 707/462-2580
www.yogamendocino.org yomo@pacific.net

We will contact you as soon as we can to let you know if you have been accepted in the program.

Tuition:
$6500 for the entire tuition if paid in full.
$6800 for the entire tuition if paid in 2-3 installments over the 2 year period.

FOR MORE INFORMATION:
Call Traci Burleigh at 415-515-0052

Name:

Address:

Email:

It is essential that you have internet access and email access for this program.

Phone: Day:

Phone:Night:

Please answer the following questions as succinctly as possible.

1. How did you hear about this program?

2. What is your yoga background?

3. Your current daily Asana practice? Pranayma? Meditation?

4. Any teaching experience? Any previous teacher training?

5. Do you wish to teach and if so do you have any particular areas of interest? What is your general intention by doing this program?

6. What attracts you to this particular program?

7. Any questions you have for us!

Thank you for applying. We look forward to seeing you!