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Center for Taiji Studies



EBT Teacher Certification
Application for Dr. Yang Yang's 48 Form Camp
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The following application is now being accepted for Dr. Yang's 48-Form Camp, August 10-15, 2014 at the Blowing Rock Retreat Center, Blowing Rock, NC.

Please answer all of the following questions and then hit the "Submit" button at the bottom. Please be brief - long essays are not necessary.

The camp is open to all, but on-site lodging is limited and admittance preference will be given to those who have previously attended CTS training events.

48-Form Camp Application
I am applying for:
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):
I am certified for:
I have previously attended:
(List dates of attendance in experience section below)
2-day EBQ
5-day EBQ
5-day EBT
48 Camp
Pao Cui Camp
none of the above
Please indicate your highest level of eductation completed:
In which field did you recieve your degree?:
Please describe in detail your previous Yoga, 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: Qigong
Taiji
Yoga
Other (describe below)
I do not teach exercise class
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 training?
How did you hear of this training?
Please note any additional comments:




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