300hr Teacher Training Application Form

Name*
First Last
Phone*
Email*
What has inspired you to apply to The Primal Therapeutics and Applied Herbalism Training?*
Are you a Certified Yoga or Movement Teacher? If so, who did you train with? How long have you been teaching?*
Please list any body, mind, or spirit centered programs you have participated in? What were they? ex: massage, meditation, coaching?*
What is your current profession?*
Are there any health concerns we should be aware of to help support you in this training?*
What is your understanding of Anatomy and Biomechanics?*
What is your understanding of Herbalism, Traditional Chinese Medicine, Ayurveda, or other Natural Healing modalities?*
What is your understanding of Herbalism, Traditional Chinese Medicine, Ayurveda, or other natural healing modalities?*
How would you describe your strengths and what are you looking to improve within yourself during this training?*
How did you find out about this program?*
I acknowledge that the information submitted in this application is true and accurate to the best of my understanding. Yes or No.*
Phone
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