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Register for QI YO SCHOLARSHIP PROGRAM

  Session No. :   
 
  First Name : *  
  Middle Name :     
  Last Name : *  
  Address : *  
  Apartment :     
  City : *  
  Country : *  
  State :   
 
  Zip Code : *  
  Mobile Phone : *  
  Land Phone :     
  Occupation : *  
  email : *  
  Date of birth :   


(YYYY/MM/DD)
 
  Gender :   
Male
    

Female
 
  Emergency Contact name : *

 
  Emergency Tel No : *

 
  Emergency Relationship : *

 
  Height : *
Feet         


Centimeters

centimeter
 
  Weight : *
Pound
    


Kilogram
 
  Eye color : *  
  How would you rate your general level

of fitness? [i.e. cardiovascular

capacity, flexibility, and strength] :

Excellent
  

Good
  

Fair
  

Poor
 
  How would you rate your overall health? :*

Excellent
  

Good
  

Fair
  

Poor
 
  Medical condition :*
Healthy
  

Medicine Taken
 
  List any medical conditions you have

and all medications, prescription

and non-prescription, that you take :
 
  How long have you practiced Bikram Yoga ? *
[yy]
 

[mm]
 
(0 - Never Practiced)
 
  Which studio you have studied ? : *


 
  How many times a week do you

practice Bikram Yoga? :
 
  Have you ever practiced

Bikram Yoga for 30 continuous days? :


Yes  

No
 
  How many times and when? :  
  Have you ever practiced other

methods of yoga :


Yes  

No
 
  which? :

 
  How long? :

 
  Where? :

 
  Are you certified to teach

other methods of yoga :

Yes  

No
 
  which? :  
  What other exercise / sports

do you practice and how often? :


 
       
       
  Are you capable of :*  
  1. Taking two(2) Bikram Yoga classes a day comprising
in total from three(3) to

five (5) hours of yoga per day,

six
days a week, for nine(9) weeks



2. Attending lectures and clinics for an  

additional

approximately six(6) hours

per day; and

3. studying an additional approximately

one to
two hours per day on your own?


Yes  

No  

Not sure
 
  Are you able to study and memorize

written material? :*


Yes  

No
 
  Level of education :*  
  Have you ever been convicted or

placed on probation for any

crime or offence either felony on

misdemeanor
by any federal

or state jurisdiction : *


Yes  

No
 
  List each separate offense by date of

conviction, offense
by court of jurisdiction,

and disposition (amount fined, term of

probation, jail or prison, date released) :
 
  Do you currently consume alcohol?*

Yes  

No
 
  How often? :

 
  T-Shirt Size (for a group T-Shirt) :  
  Leave of absence due to pre-exiting commitment:  
  Why do you want to become a

Bikram Certified Teacher? :*
 
     

Testimonials & Reviews

001

I took Qi Yo Yoga's 200 hrs Yoga Teacher training in Spain in August 2013. The experience became a revelation for me! It gave me ...

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002

"Practicing Qi-Yo for several years has helped me tremendously with my personal growth both on physical and spiritual level. The unique mixture of Qi-life energy ...

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003

"I love the wonderful energy I feel when practicing Qi-Yo. I feel blessed to have found this system and Swami Agung. Beginning the class with ...

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004

“I have been practicing Qi-Yo regularly for five years. The practice has made me physically stronger and more balanced, more aware energetically and more sensitive ...

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005

“Both Qi Gong and Yoga have a lot to offer as independent esoteric systems, but together it's magic. Taking the time to delve into the ...

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006

“I'm so happy to find a practice that blends many strands together to create a deeply meaningful experience every time I practice. I love that ...

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007

"We welcome Qi-Yo and Swami Agung to Yofi India. We are excited to help make your program a grand success.” CK Ashok Kumar, owner of Yofi ...

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008

Swami Agung's fusion of Yoga and Tai-Chi is a great concept.

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009

Just ten days of daily gentle training and the body feels stronger, lighter, simply finds its balance in the postures that seemed difficult last week... ...

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010

Much love and Gratitude for the great knowledge and wonderful experience you have shared with us during your stay in Auroville. We miss you very ...

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011

"Thank you very much again for all the teaching, knowledge, experience, and inspiration you shared and gave to us. Thank you for your generosity to ...

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012

"What's most inspiring is Swami Agung's complete physical control yet sense of ease in advanced asana practice. A beautiful example of how a challenging series ...

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013

“What a life changing experience! I so happy to have met Ariadne and Agung. They have truly opened my eyes and taught me so much. ...

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014

“I like the flow and the energy. It feels great!” Mark Scott, Attended Qi Yo Yoga Classes in India

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015

“I like the freedom that we are not focused on positions all the time, but on more subtle layers. I also like that there is ...

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016

“I have learned so much. Love Qi Yo! The system is a result of many years of research!” Sabrina Prassede, Qi Yo Student

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017

“This system offers so much knowledge! There should be a university for Multiversal knowledge!” Olga Belousova, Yoga Teacher from Moscow, Russia

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018

“I received many tools. It was an intensive training. I learned a lot.” Blanca Carbonell Bernado, Qi Yo Yoga 200 Hrs TTC Graduate

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019

“I was happy to see a more spiritual approach to yoga. I loved the idea of incorporating Qi Gong with hatha yoga!” Nadia, Qi Yo Yoga ...

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020

“I like the Qi Yo System a lot! It is not traditional but respects the tradition. I like the integral approach.” Isaac Mills Sfeir, Qi Yo ...

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021

“Taking the Qi Yo Yoga Training helped me build my will power.” Viola Julia Ehm, Qi Yo Yoga 200 hrs TTC graduate

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022

“We received a GLOBAL outlook and a lot of knowledge.” Carlos Cosmea Fernández, Qi Yo Yoga TTC graduate

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023

“What I learned benefited me much! I enjoyed it a lot!” Sadika Reuben, Qi Yo Yoga student

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024

“Qi Yo Multiversal Yoga brings together elements of different yogic paths and makes them available for our modern times.” Sacha Bal, Qi Yo Student

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025

“Qi Yo Yoga is a blend of many practices in a yogaleidoscopic blend of learning, where the Supreme source of knowledge complements all paths and ...

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026

“Qi Yo multiversal yoga is approach to yoga that is versatile and that could be done by anyone. It is dynamic and synthesizes many practices. ...

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