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Instructor Application
Contact Information
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Your Experience
In this section, we would like to learn more about your prior training, experience and qualifications to teach.

List the name of the studio(s), fitness or community centers where you currently facilitate yoga or meditation.

Provide the name and city/state of all other places where you have taught yoga, and when you taught there.

Provide a brief description of the classes you enjoy facilitating.
Certifications & Trainings
Please provide information about certifications and trainings you have completed relevant to this application.
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Date of YTT Certification ** If you are not a certified yoga instructor, please consider serving another way - visit www.TransformationYogaProject.org/volunteer to explore other ways to contribute to our mission.
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Please select all that you have completed.
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Upload a copy of your yoga certification.

If you have it, please upload a copy of your Yoga Alliance registration designation(s).

If you have it, please upload a copy of your IAYT certification(s).

Please provide the Name of any other trainings you have taken relevant to this application and include the Provider, the Date completed, the Location and a Brief Description.

Please provide the Name of any other certifications you have received relevant to this application and include the Provider, the Date received, and the Location.
Education


Volunteer Interest
In this section, we would like to learn more about why and how you would like to teach for TYP.
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Select all of the communities would you like to reach through TYP:
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Do you prefer to volunteer or be paid for your services?

Why do you want to support TYP's mission?
Your Availability
In this section, we'd like to learn more about your availability to teach our classes.
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Which days of the week are you available to teach?
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To which counties would you be willing to travel to teach?
Clearances & PA Child Protective Services Law
Some of the faclities with which Transformation Yoga Project contracts require instructors to provide PA State Police Criminal History Checks, Dept. of Human Services Child Abuse History Clearances and/or FBI Fingerprint background checks.
 
In additiona, the Pennsylvania Child Protective Services Law requires all prospective and current adults working in a paid or unpaid capacity “who have direct contact with children or who are responsible for the welfare of a child” (under 18 years of age) to obtain both criminal background check and child abuse clearances once every 5 years. 23 Pa.C.S. § 6344.4(1)(i). “Direct contact with Children” is defined in the Child Protective Services Law as “the care, supervision, guidance or control of children AND routine interaction with children”. 23 Pa.C.S. § 6303.  Accordingly, TYP requires any applicant interested in working with one of our youth programs to provide the state mandated documentation.
 
A.  All instructors working with youth programs will be required to obtain and submit:
B. Additional documentation:
If you have resided in the Commonwealth for less than 10 years, then will be required to obtain:
If you have resided in the Commonwealth continuously for at least the past 10 years you will also be required to submit:

If you have obtained any of these clearances, you may submit them below.  Otherwise, we will collect them from you at a future date prior to instruction as needed.


Please enter the date of your PA State Police Criminal History if you have already obtained one.

Please upload a copy of your PA Criminal History if you have already obtained one.

Please enter the date of your PA DHS Child Abuse History Clearance if you have already obtained one.

Please upload a copy of your PA DHS Child Abuse History Clearance if you have already obtained one.

Please enter the date you obtained your FBI Fingerprint Criminal History Clearance if you are required to provide and have obtained one already.

Please upload your FBI Fingerprint Criminal History Clearance if you are required to provide and have obtained one already.

Please enter the date of your Disclosure Statement for Volunteers if you are required to provide and have obtained one already.

Please upload a copy of your Disclosure Statement for Volunteers if you are required to provide one.
References
Please provide three references
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Upload a reference
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Upload a reference
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Upload a reference
Other Information

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Insurance & Release
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All TYP instructors (whether paid or volunteer) must carry their own instructor insurance. Please enter the date your insurance policy expires.
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Please upload a copy of your current policy's Certificate of Insurance.
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Please upload a signed copy of the Release & Consent agreement. You may download the document at http://www.transformationyogaproject.org/join-our-team