Collective Resilience

Name *

First Name

Last Name

Which certificate(s) are you requesting? *

Certificate of Completion for Trauma-Informed Yoga & Somatics Basics (for Yoga Alliance CE)

Certificate of Completion for Trauma & Embodied Social Justice (for Yoga Alliance CE)

Certificate of Completion for Foundations Mentorship (for Yoga Alliance CE)

Certificate of Completion for Intermediate 1 (for Yoga Alliance CE)

Certificate of Completion for Intermediate 2 (for Yoga Alliance CE)

Certificate of Completion for Facilitation Mentorship (for Yoga Alliance CE)

Certificate of Completion for Advanced Integration (for Yoga Alliance CE)

OTHER Certificate of Completion (for Yoga Alliance CE) *please state name & dates in the box below*

Foundational Certificate in Trauma-Informed Yoga & Somatics

Intermediate Certificate in Trauma-Informed Yoga & Somatics Facilitation

Advanced Certificate in Trauma-Informed Yoga & Somatics

Do you verify that you have fulfilled all of the requirements necessary to receive a certificate(s)? *

Yes

No