Become a LISPY trained Psychotherapeutic Yoga Therapist

LISPY Application

Please complete the following application.

Please note that the application will not be accepted without submission of the application fee.
Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Date of birth
Professional background
What is your educational background?*
Institutions, Degrees, Graduation Years
Please describe professional background and current employment?*
Are you a licensed mental health professional?*
- Yes
- No
If yes, please indicate licensure status and professional experience:
Are you a health care provider?*
- Yes
- No
If yes, please indicate professional licenses and experience.
Yoga background
Please list all of your yoga educational background:*
Yoga Alliance designations*
- none
- RYT-200
- RYT-500
- Other
Please describe your yoga teaching style and number of years teaching, if applicable:
Please describe your personal yoga practice and how long you have been practicing:*
Personal Info
Please describe your mental health regimens
(psychotherapy, yoga, diet, exercise, etc)
Please describe your personal goals for your life:*
(diet, lifestyle, career)
What is your biggest obstacle to achieving these goals?*
What else would you like for us to know about you?
How did you hear about LISPY?*
(referred by, web search, advertisement, etc.)
Payment Info
Preferred payment terms*
If accepted, please note that the training fee of $3500 is due 60 days prior to the start date of your training. (note: only the app fee is due at this time). Please note all application approvals must submit a non-refundable $400 deposit/first payment to guarantee space in the training. (This is not due at this time)
- I understand that the $3,500 training fee is due 60 days prior to the training start date.
LISPY application fee*
The completed application form and fee are required before your application will be reviewed. You will be directed to Paypal to complete your application fee.
Price: $50.00
Name
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Become a LISPY trained Psychotherapeutic Yoga Therapist

LISPY Application

Professional background

Yoga background

Personal Info

Payment Info