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Application for Admission
Yoga Therapy Extension Certificate
4825 Mount Royal Gate SW, Calgary AB T3E 6K6
T: 403.440.6867
W: conted.mtroyal.ca/yoga
How to Apply
1. Submit the following documentation with completed application:
a) Statement of Career Investigation
Complete the enclosed form, detailing:
•
Your work experience as a yoga teacher (hours, type of class, contact).
•
Your personal practice.
•
Why you feel you are well suited to a career as a yoga therapist.
•
What you have done in order to adequately prepare yourself for admission to the program.
b) 200-Hour Yoga Teacher Training Certificate (or equivalent)
Completion of 200-hour yoga teacher training is required (provide documentation).
2. Include a non-refundable $100 application fee.
Provide a credit card number or make cheque payable to Mount Royal University. Do not send cash through the mail.
3. Submit the application package in one of the following ways:
In Person:
Mount Royal University, Lincoln Park Campus
Continuing Education and Extension Registration Services
4825 Mount Royal Gate SW; Kerby Hall (East Gate)
Room A101, Wickets 9 & 10
Call 403.440.3833 or toll free 1.877.287.8001 for current hours
Mail:
Mount Royal University
Continuing Education and Extension Registration Services
4825 Mount Royal Gate SW, Calgary, AB, T3E 6K6
Fax:
Continuing Education and Extension Registration Services
403. 440.6743
When to Apply
Early Admission
Fall Semester
December 1 – April 30
Enrolment is limited. It to your advantage to apply during the early admission period since the program can only
accommodate a limited number of students. Applicants who apply for early admission will be considered within 4-6 weeks
of their date of application. Applications may be accepted after the early admission period, pending space availability. Visit
the website for updates.
For More Information
Website:
Telephone:
Toll-free:
E-mail:
conted.mtroyal.ca/yoga
403.440-6867
1.866.616.3606
[email protected]
Statement of Career Investigation
Yoga Therapy Extension Certificate
4825 Mount Royal Gate SW, Calgary AB T3E 6K6
T: 403.440.6867
W: conted.mtroyal.ca/yoga
Please discuss the following topics in the space available.
Please list your work experience as a yoga teacher (hours, type of class, contact).
Please describe your personal practice.
Why do you feel you are well suited to a career as a yoga therapist?
What have you done in order to adequately prepare yourself for admission to this program?
I, ________________________________________________, declare that I have completed a 200-hour yoga teacher
training program (documentation required), one year of yoga teaching experience (suggested 30-40 hours) and one
year of personal practice.
I have foundational skills in the following:
• Teaching methodology and principles of learning as they apply to yoga
• Techniques of yoga – including but not limited to – asanas, pranayamas, kriyas, chanting, mantra and
meditation
• History, philosophy and spirituality from the yoga scriptures
• Ethics and lifestyle for yoga teachers
I acknowledge that I have the prerequisite knowledge, skills, experience and personal practice to be fully prepared for
admission into the Yoga Therapy Certificate at Mount Royal University. By signing this document I am indicating to
Mount Royal University that I meet the requirements to be accepted and take full responsibility for my learning.
____________________________________________________
Signature
______________________________________
Date
3/17/14
Application Form
Yoga Therapy Extension Certificate
4825 Mount Royal Gate SW, Calgary AB T3E 6K6
T: 403.440.6867
W: conted.mtroyal.ca/yoga
PLEASE PRINT CLEARLY AND ANSWER ALL QUESTIONS COMPLETELY
Have you previously applied to or have you ever attended Mount Royal University?
 Yes
 No
If Yes, your Student ID number:
Personal Information
Last Name (family name)
First Name (legal)
Middle Name (legal)
Previous Name (if applicable)
Gender
 Male
Birth date
dd
mm
yy
 Female
Mailing Address (Street/PO Box #)
City/Town
Province/Country
Postal Code
Telephone - Home
Telephone - Business
Fax (if available)
(
(
(
)
Citizenship Status
 Canadian Citizen
 Landed Immigrant
 Student Visa
 Work Permit
 Other
)
Expiry date of your
Visa
(if already issued)
dd
mm
yy
)
Country of Citizenship
_________________________________________
First Language (mother tongue)
_________________________________________
English Language Proficiency requirement may apply
E-mail
Emergency Contact
Name
Telephone (
Alberta Student Number (if available)
-
-
)
Previous Education
Most recent High School Attended / Credential Earned
City/Province
From
mm
Post-Secondary Institution Attended / Credential Earned
City/Province
To
yy
mm
yy
mm
From
mm
yy
To
yy
Other
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Method of Payment ($100 application fee)
 Cash/Debit (in person only)
 Cheque (Mount Royal University)
 VISA
 MasterCard
Card Number
Expiry Date
Cardholder's Name
Cardholder's Signature
 Money Order
Applicant Survey
How did you hear about the program?
 Print (please specify):_____________________________________________________________________________________
 Referral (please specify):__________________________________________________________________________________
 Online (please specify):___________________________________________________________________________________
 Other (please specify):
______________________________
____
Why did you choose our program?
___________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Declaration
Have you included:
 Documentation/Yoga Teacher Training Certificate
 Statement of Career Investigation
 Application Fee
I certify that I have read all of the instructions and information accompanying this application form and that the information I have provided on the
application form is true.
Signature of Applicant _________________________________________________ Date ____________________________________________________
Freedom of Information and Protection of Privacy The information that you provide to Mount Royal University when you register for Continuing Education courses is
collected under the authority of the Post-Secondary Learning Act and Freedom of Information and Protection of Privacy Act in the Province of Alberta, Section 33(c). This
information will be used for academic administration, the administration of Mount Royal support services, scholarship and financial aid awards, marketing and recruitment
activities. Your personal information is protected and can be reviewed upon request. The complete statement and further contact information is available at
conted.mtroyal.ca/cefoip.
3/17/14