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Self-empowerment and self-rehabilitation

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Facilitator Application

If you have not already done so, we recommend that you read Becoming a Facilitator to familiarize yourself with the application process and requirements for Facilitators.

Use this Facilitator Application Template to prepare your responses ahead of time. You will not be able to save the online application after you begin and come back to it later.

Step 1 of 5

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Personal Information
Name*
Prefix First Middle Last Suffix
Preferred Name
First Last
Pronoun
Address*
City State / Province / Region Country
Phone*
Email*

Training, Education, and Work Experience
Yoga Teacher/Therapist Training*
Please list 200/300/500-Hour Yoga Teacher Training and IAYT Accredited Yoga Therapy programs you have completed. Include the type of training, school/studio, and date completed, listed one per line.
Have you attended training with Prison Yoga Project?*
- Yes
- No
Prison Yoga Project Training
Please list the training that you have completed with Prison Yoga Project, including the approximate date and location, listed one per line.
Additional Yoga Training/Workshop(s)
Please list other relevant yoga training and workshops you have completed. Include the type of training, school/studio, and date completed, listed one per line.
Other Education and Credentials
Please list other post-secondary education or other credentials completed. Include the name of the degree, institution, and date completed.
Certifications
- C-IAYT
- RYT 200
- RYT 500
- SEP
- MSW
- MFT
- Other
Other Certification(s)
Work Experience*
You can either upload a resume or enter your work experience as text; please choose one.
- Upload Resume
- Enter Work Experience
Upload a Resume
Upload your resume in Word or PDF format.
Accepted file types: doc, docx, pdf, Max. file size: 50 MB.
Enter Your Work Experience

Availability
How often would you be able to dedicate half a day to this work?*
- Daily
- More than once per week
- Weekly
- Twice/month
- Monthly
- Occasionally
Best times of the day?*
Select all that apply.
- Morning
- Afternoon
- Evening
Best days of the week?*
Select all that apply?
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
How stable is your current situation?*
Are there any considerations that might impact or inhibit your ability to make a long-term and consistent commitment, approximately one year? Are your plans and circumstances (e.g. travel, employment, residence) predictable?
Population(s) of Interest*
- Youth
- Men's Facility
- Women's Facility
Opportunity
Are you currently facilitating a program or in contact with or have a connection to a facility where there is an opportunity to start a new program?*
- Yes
- No
Please describe the opportunity

Let's Get to Know You
What led you to take the PYP training? Why are you passionate about becoming a PYP Facilitator and serving those incarcerated?*
What (if any) concerns do you have about facilitating inside?*
In your opinion, what do you consider to be the most vital component of trauma-informed practice? Why?*
Describe your yoga and mindfulness practice. What do you believe is the main benefit of maintaining a consistent practice?*
What experience do you have teaching yoga to diverse populations? If this would be your first experience, how will you ensure that you are adapting your class to meet the needs of your participants?*
What resources - books, podcasts, websites, etcetera - have you found to be most useful in learning more about trauma, the criminal justice system, yoga, and so on?*

What would you do if...
Unexpected situations often arise when facilitating yoga on this inside. Listed below are several examples of situations you may experience.
...a participant comes into the practice, lies down on the mat, crosses their arms, and does not participate?*
...during a balancing pose, a student begins to mimic Karate Kid moves?*
...you have chosen to introduce a crow pose in a class and notice that a participant(s) have become competitive, frustrated, overwhelmed, or are making unsafe choices?*
...a regular participant is behaving uncharacteristically?*
…custody staff enters the room and advises you to end your practice early?*
Anything Else?
Is there anything else you would like us to know?
Would you like a copy of your application to be sent to you?*
- Yes
- No

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P.O. Box 415
Bolinas, CA 94924

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