Form

Scholarship Application for 2013

This scholarship program will award one (1) $1,000 grant annually to an IYANE member to offset expenses incurred for studying at the Ramamani Iyengar Memorial Yoga Institute (RIMYI) in Pune, India. Requirements include:

current membership in IYANE,
a confirmation letter from RIMYI of acceptance to study there for at least one month,
financial need, and
involvement with one’s local Iyengar Yoga community and IYANE.

Instructions

Please answer all questions. All information will be kept confidential and shared only with members of IYANE Scholarship Committee and Board of Directors.

If you have any questions please contact Lynnae LeBlanc, IYANE Finance/Scholariship Chair.

Your complete application must be submitted in full by October 1, 2012.

1. Contact details

Name*

E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

2. Your yoga study and practice

When did you begin studying Iyengar Yoga?*

Where?*

With whom did you study?*

Who is your current teacher?*

How often do you study with him/her?*

List other teachers with whom you have studied regularly.*

List workshops/conventions/etc. that you have attended in the past 12 months:*

Describe your current practice*

3. Community involvement

How long have you been a member of IYANE?*

Describe your participation in IYANE and your local yoga community.*

4. Studies at RIMYI

Month and Year of Planned Study at RIMYI*

Have you studied at RIMYI before? If so, list dates and courses of study (i.e. public classes, intensives, birthday celebrations, etc.).

Indicate how you will send us a copy of your RIMYI confirmation letter.

I will mail a copy to Lynnae LeBlanc, 40 Hidden Cove, Plymouth MA 02360 I will upload a digital copy using the button below.

Upload your RIMYI confirmation letter.

Estimated Expenses for Course of Study at RIMYI

Estimated Transportation Expense*

Estimated Housing Expense*

RIMYI Fees*

TOTAL ESTIMATED EXPENSES*

5. Financial and scholarship details

Describe your current financial situation, including your household sources of income, average household monthly income, number of dependents in your household, and any other financial information you feel is pertinent to this scholarship application.*

Have you previously received any scholarships for any Iyengar Yoga study of any kind (such as classes, workshops, conferences, conventions, etc.)? If yes, list dates, amounts, and grantors.*

In a brief statement, describe what significance receiving this scholarship would have for you.*

Please type your full name.*

By checking this box:*

I attest that the information provided is an accurate and factual representation of my circumstances.