Evidence-Based Taiji Teacher Certification Training Application

Application for Yang Yang's Evidence-Based Taiji Teacher Certification Training

The following application is now being accepted for Dr. Yang's Evidence-Based Taiji (EBT) Teacher Certification Training, September 16-21, 2012 at the Blowing Rock Retreat Center, Blowing Rock, NC. You may also apply for weekend training with Senior EBT instructors, provided you are able to travel to the instructor's location. Space is limited, so if interested you are encouraged to apply early.

Please answer all of the following questions and then hit the "Submit" button at the bottom. Brevity and clarity of writing are desired for essay-type questions. If, like Mark Twain, you do not have time to write a short answer and therefore must write a long one, you are welcome to forward a Word document addendum to the application to us at info("at symbol")centerfortaiji.com. Please identify yourself and the application question(s) that is (are) the subject of the addendum.

Acceptance into the program is competitive and we encourage you to be brief yet sincere in your response.

Note: Those applying for the second 40 hrs of EBT training need only submit name and contact information below.

Evidence-Based Taiji (EBT) Teacher Certification Training Application

I am applying for:

This will be my:

First Name:

Last Name:

Email (please double check spelling):

Home Phone (e.g.2173519388):

Address 1:

Address 2:

City:

State:

State/Province (if outside U.S.):

Zip:

Country:

Country (if other):

Please indicate your highest level of eductation completed:
In which field did you recieve your degree?:

Please describe in detail your previous Taiji and/or Qigong training and experience. Information should include, but is not limited to:

- years of experience
- primary teachers or influences
- certifications/designations/rankings
- daily practice habits
- In which styles and forms do you consider yourself proficient?

Do you currently teach Taiji? no yes

If currently a teacher, please describe in detail your teaching, the curriculum, the setting and the students. Include information about how many classes per week and the average class size.

What are your expectations from this certification training, and what are your practical goals for using this certification?

What are the benefits of practicing Taiji/Qigong?

(Complete this sentence) The most important aspect(s) of Taiji/Qigong training is (are):

How did you hear of this training?

Please note any additional comments: