Application for Yoga Chikitsa Acharya

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Eligibility Criteria

The following are the criteria for candidates to be eligible for grandparenting as Yoga Chikitsa Acharya
(Yoga therapy Consultants).

Must be Life Member of IYA
Must provide details of Yoga Chikitsa training & education including (at least 2 of the 3 below
mentioned)
a. Minimum 1500 hours of Yoga + Yoga Chikitsa training
b. Undergone mentorship with IYA recognised Acharya/Guru
c. Documentation of any education qualifications as Yogacharya/Yoga Chikitsak
Documentation of Healthcare qualifications if appropriate
Evidence of practice as a Yoga Chikitsak/ Yoga Chikitsa Acharya for more than 10 years
Evidence of beneficiaries of the Yoga Chikitsa provided
Details of significant trainees who have become Yoga Chikitsaks
Details of significant work in Yoga/Yoga Chikitsa research (projects/publications/books)
Evidence of serving in Yoga and Yoga therapy organizations and committees
(State/National/International)

As a Member Institution/ Associate Centre of IYA, you are requested to if so desired submit names and
contact information of Yoga Chikitsa Acharyas from your institution/ tradition that fulfil the above
criteria. These names may be provided in order of merit to facilitate scrutiny. The individuals so
nominated will be directed to fill up a Google form encompassing all requisite details and proofs as
attachments.

This will be then initially scrutinised by the Screening Committee, followed by the Yoga Therapy
Subcommittee and then the SAAC. The list submitted by SAAC will be finally vetted by the EC of IYA.
Only eligible persons will be given the final approval for this round of selection whilst others can re-
apply in future.

The fees for the Yoga Chikitsa Acharya is Rs 5000/– (for SAARC nationals also) and $100 for other
countries.

Your Name

Your Email (required) *

Mobile Number *

Please Provide IYA membership Unique ID *

Please provide name as you want printed on YOGA CHIKITSA ACHARYA Certificate *

Please Select your Date of Birth

Please provide date of your IYA membership Please type the date on which your IYA membership was issued

Are you a medical doctor *

Please state your Yoga Therapy Qualification

Please state the organisation / institution from which you acquired the qualification

Please state year in which you acquired the qualification *

Please state the duration of the course *

Have you published any papers / books / articles relating to Yoga Therapy * *

If you have published, then please provide links to the publications or upload copies (if possible) *

Have you specialised in any specific area of therapy - Example - spinal disorders / Gynaecology / Mental Health etc. *

If the answer to the above question is "YES", please specify the speciality. If the answer is "NO", then please respond with a "Not Applicable"

Are you full time into Yoga therapy? *

If the answer to the above question is "NO", then please state how many hours do you spend on Yoga therapy each week? If the answer to the previous question is "YES", then please reply "Not Applicable" (If the answer)

What is your total experience as a Yoga therapist (number of years)

Approximately how many patients have your assisted / helped in your experience so far? *

If you are not a Medical doctor, do you work along / collaborate with any Medical doctor in your profession

If the answer to the above question is "Yes" or "Sometime" then can you provide the details of the Medical Doctor with whom you work with / collaborate. If you are not collaborating with any Medical Doctor then please reply "Not Applicable"

Have you mentored other Yoga therapists? Please note that if you have not mentored other Yoga Therapists then you may not be eligible for the "YOGA CHIKITSA ACHARYA" certification. You will still be eligible for "YOGA CHIKITSAK" certification. You may want to apply for that certification as and when it opens up. *

If so, please can you please indicate the number of therapists you have mentored?

Other than Indian Yoga Association, are you part of any Yoga or Therapy related organisation either full time or part time either paid or honorary basis (Local / State / National / International)? *

If so, please provide details *

Please confirm having read and accepted the following sentence: " I HEREBY CONSENT TO KEEP MYSELF ABREAST WITH THE IYA CODE OF CONDUCT AND ABIDE BY THE SAME AT ALL TIMES" *

Please confirm having read and accepted the following sentence: "I ALSO CONFIRM THAT I WILL NOT INVOLVE MYSELF IN ANY A-YOGIC ACTIVITIES" *

Please confirm having read and accepted the following sentence: "I UNDERSTAND THAT IYA CAN UNILATERALLY WITHDRAW MY MEMBERSHIP AND CERTIFICATION AT ANY TIME IF THEY FIND ME GUILTY OF ANY A-YOGIC ACTIVITIES"

Attached Your Photo *

Attached Certificate Documents *

Your Message

I confirm that the information given in this form is true, complete and accurate.

Phone

4610