Whole Health Pathways – CPD Application Form

Whole Health Pathways

CPD Application Form

The Four Foundations of Whole-Person Wellbeing A 50-Hour CPD in Health-Aware Yoga and Everyday Self-Care

Section 1 — Personal Details

Name(Required)

First Last

Email(Required)

Phone(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Emergency Contact Name and Telephone Number(Required)

Section 2 — Course Format

Which course format are you applying for?

Online Course

Norwich In-Person Course

I am interested in either format

I am registering interest for future dates

Section 3 — Yoga Teaching Background

Are you a qualified yoga teacher?

Yes

Currently in training

Please state your yoga teacher training qualification, including training provider, year completed and number of hours.

Are you registered with a yoga professional body or register?

Yoga Alliance Professionals

British Wheel of Yoga

Yoga Alliance

Independent Yoga Network

Other

I am not currently registered with a professional body

If other, please give details.

Please include your registration number or membership details if relevant.

Are you currently teaching yoga?

Yes, regularly

Yes, occasionally

Not currently teaching

Planning to begin teaching soon

Please briefly describe the type of yoga you teach, or hope to teach, and the settings you teach in.

Do you have any additional relevant training or professional experience?

For example: healthcare, coaching, education, social care, nutrition, meditation, accessible yoga, restorative yoga or trauma-informed training.

Section 4 — Motivation and Intentions

Why are you interested in this CPD course?

What do you hope to gain from the course?

How do you imagine using this training in your yoga teaching?

Section 5 — Health, Safety and Accessibility

Do you have any health conditions, injuries, disabilities, access needs or circumstances that may affect your participation in the course?

Please include anything that would help us support your participation safely and appropriately.

Do you have any concerns about participating in movement, breath awareness, relaxation or reflective practices as part of the course?

Do you have any allergies we should be aware of?

For example: food allergies, environmental allergies, latex, essential oils, nuts, gluten, dairy or other allergies.

Do you have any dietary requirements?

For in-person training days only.

Is there anything you would like us to know about how you learn best?

For example: access needs, breaks, written notes, processing time, hearing or sight needs, or other learning support.

Section 6 — Professional Scope and Course Commitment

This CPD does not train yoga teachers to diagnose, treat medical conditions, prescribe nutrition plans, give individual dietary advice, interpret blood sugar readings, or work as health coaches, nutritionists or therapists unless they already hold those qualifications. Do you understand and agree to work within your existing professional scope of practice?(Required)

Yes, I understand and agree

Do you currently hold professional insurance for teaching yoga?

Yes

Not currently teaching

I am arranging this

This course includes 30 taught hours and 20 hours of guided self-study and assignments. Are you able to commit to the course hours?

Yes

I may need to discuss this

I am unsure

Section 7 — Consent and Agreement

I understand that this CPD includes movement, breath awareness, relaxation, reflection, group discussion and teaching application. I agree to take responsibility for my own participation and to adapt or pause practices where needed.(Required)

I agree

I understand that this course is for qualified yoga teachers and is intended as continuing professional development, not as a therapy, medical, nutrition or health coaching qualification.(Required)

I agree

I agree to respect confidentiality within the group and not share personal information disclosed by other participants.(Required)

I agree

I consent to Whole Health Pathways and First Light Nutrition holding my information for the purpose of processing my application and communicating with me about this course.(Required)

I agree

Would you like to be added to the Whole Health Pathways mailing list for future CPD, training and workshop updates?

Yes

I'm already subscribed

Is there anything else you would like us to know?

CAPTCHA

Data Storage Disclaimer (GDPR-compliant)
Your personal information will be stored securely and will only be used for the purposes you have consented to above. We will never share your details with third parties. You can withdraw your consent or request your data to be deleted at any time by contacting us at michelle@whole-health-pathways.com.

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