New Teacher Intake Form

WELCOME TO THE UNITED WE OM TEACHING FAMILY.

Contact Information

* Indicates required field

Name *

First

Last

Email Address *

Mobile Phone *

Alternative Phone *

Personal Address - this will be used to mail your check. *

Line 1

Line 2

City

State

Zip Code

Country

If a Yoga Teacher, I am a *

RYT 200+ Comprable Certification

Name comparable certification if it applies *

I have attended the United We Om Karma Yoga Teacher Training *

Yes No

Social Media

Personal Facebook Profile *

Other Facebook Page *

Instagram *

Twitter *

Logistics

Google+ *

Website Address *

Please confirm that you are insured. *

I am insured I am not insured

Provide a brief bio. (This is for clearance with the organization you'll be teaching for and our board so please make sure you highlight experience and training relevant to your Karma Project) *

What props do you feel you need in order to have a successful project? We will do our best to provide them. Please keep in mind that these props will need to be stored and not all locations can accommodate large props for all participants. Mats are always provided. *

Upload the bio if you prefer. *

Max file size: 20MB

Upload a couple of pictures for promotion *

Max file size: 20MB

Please briefly describe why you feel called to provide yoga and meditation across social and financial boundaries, to the specific group you will be teaching to. (this is for use on your website page and on social media) *

Namaste