The Enrichment Practice Application

Online Application for New Students

Please note that if you have already participated in any of the The Enrichment Practice curriculum workshops with Nikki Costello since January 2013, you do not need to complete this comprehensive application or pay the $100 deposit, and should instead submit this alternative application here.

All students who are new to The Enrichment Practice should complete the application below. Applications will be accepted until October 15th, 2016. A limited number of students will be accepted, and admittance into the program will be granted in order of receipt of applications. 

Application is a two-step process:

  1. Please submit a deposit payment of $100 here. This is non-refundable if you are accepted into the program, but will be applied to your tuition. The tuition balance will be payable upon acceptance to the program to secure your space.
  2. Complete the online application below.

 Please note that you must also send us two photographs by email to complete your application; one head-shot and one photograph of you demonstrating Utthita Trikonasana (triangle pose). You can email these to jenny@yogashanti.com, with your full name, plus “The Enrichment Practice Photo Submissions” in the subject line please.

You will be notified of your acceptance status within 7 days of our receipt of your completed application.


First Name
Last Name
Street Address 1
Street Address 2
City
State
Zip / Postal Code
Country
Primary Phone
Email Address
Gender
Age
Best Day/Time to Reach You
Emergency Contact
Relationship
Telephone

Yoga Background

How long have you been practicing yoga? (lease note that it is recommended that all applicants have a consistent yoga practice of at least three years or more and/or have been teaching for a minimum of two years)
What style(s) of yoga have you practiced in the past and what style(s) do you currently study?
How often do you typically practice per week?
Do you have a primary teacher? If so, how long have you been studying with her/him?
Do you have a daily asana, pranayama, and/or meditation practice? Please provide details.
What is the current focus of your practice? What are the current obstacles in your practice?
Have you ever participated in a yoga teacher training program before? If yes, please provide details.
Do you currently teach yoga? If so, where? For how long?
If you are not currently teaching yoga, do you plan on teaching yoga in the future?
Have you studied any yoga philosophy?
How did you hear about this program?
What attracted you to The Enrichment Practice with Nikki Costello?
What are your goals & expectations for this 5-day course?
Please describe your educational background (degrees, institutions, locations, and dates), from high school to college and beyond.
What other related disciplines do you study/practice?

Health History

List any prescribed medications you’re taking or significant medical treatment you’re
currently undergoing.
Is there anything we should know about your health, such as high or low blood pressure, diabetes or low blood sugar, epilepsy, heart problems, depression or anxiety, mental health related illness, neck, back, shoulder, wrist, or knee injuries?
Are there any other limitations or challenges that you face, physical or otherwise, that you would like us to be aware of?
Please provide any additional information that you would like to share with us.