Wufoo

11th Young Leader's Immersion (w/Costa Rica) 2025

Join us 2025
Young Leader's Yoga Teacher Training June 20-July 20, 2025
Costa Rica Leadership Immersion 7/12-7/19, 2025
BE THE CHANGE- Sponsored by The MahaShakti Foundation
and Be The Change Projects Powered by YogaFestFL
TEXT Hostess Kelly Brookbank ERYT500 704.756.9245 for info.

Requirements for Consideration for Merit Scholarship
(Partial or Full):

• Complete Application Below

• Yoga School Student, College Student or High School Juniors/Seniors during 2024/2025 School Year (Students under 18 can come with Parent Chaperone once approved. Some may come by special permission)

• Maintain a GPA of 3.0

• Have a Yoga/Meditation Practice or be involved in a Music/Arts Program.

• 2 recommendation letters
Your Yoga/Meditation/Art/Music Teacher &
An Adult in the Local Community (non-Relative)
(email these to kelly@moonbeamyoga.com)

• 5 hours community Service (minimum)
(Local Yoga/Meditation/Art Programs or YogaFest 3.1.2025)

• One Essay (CAN BE VIDEO) –
EARLY APPLICATION DEADLINE: 12/31/2024 –
EXTENDED DEADLINE 4/15/2025
NEED APP FORM, ESSAY, and HEAD SHOT PHOTO!
ESSAY – 2 Pages Maximum
Describe yourself, your background.
How do you know about this program?
Explain why you are drawn to practice Yoga/Meditation or create Art/Music - how it helps you in school, in life, and with friends.
Specifically add how the practice has helped you in stressful situations in your life.
Describe how you make contribution to YOUR community.
Tell us how you plan to use Yoga/Meditation/Art/Music in your future.
Most importantly - why should the MahaShakti Foundation Board select you for the merit scholarship to the Yoga Teacher Training and / or Costa Rica Empowerment Retreat (July 2025)

Include a Photo of Yourself in your favorite Yoga Pose.

*Returning Applicants* - Please note in the Essay how your experience from the Program has enhanced your studies with Yoga/Meditation/Music/Art and Explain how your goals this year have changed from last year.

Name * First Last
Name I prefer to be called: *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number * ### - ### - ####
Email *
FaceBook
Instagram
Date of Birth * MM / DD / YYYY
What School do you Attend (What grade/level) and what are your interests? If you are a college graduate please provide your Yoga School to apply. *
I am applying under the early deadline (12/31/24) - answer Y/N and if Yes - Please advise if you are interested in one of the 5 advanced merit scholarships for Costa Rica and can commit to service hours immediately as an intern for Be the Change. If interested please list your skillset *
Please let us know if you are in need of a financial scholarship or if you are able to pay in full for the Teacher Training ($3,225 with Costa Rica) or just the Costa Trip ($1,725 not including airfare) *
How long have you studied yoga/meditation/music/art?
How often do you practice your specialty? *
What is your best attribute that you think would best benefit the group and the Costa Rican community as a whole? *
For Repeat Applicants who have previously attended a Student Empowerment Project Retreat: How will your participation this year be different? What do you hope to contribute to the group differently this year since you have prior experience with serving this community?
I hearby declare that the above information is true to the best of my knowledge. I understand that misrepresentation of this information is unethical and constitutes grounds for revocation of certification. * First Last
How did you find out about the program?
Please list your emergency contact person. * First Last
Phone Number (for Emergency Contact) * ### - ### - ####
Email (for Emergency Contact) *
Upload your Headshot Photo *

High Resolution Photos Only
Upload your Favorite Yoga Pose Photo *

High Resolution Photos Only
Upload your Essay (or enter below or email to kelly@moonbeamyoga.com)

You may type your essay in the box below if you choose not to upload a separate file!
Type or Copy/Paste your Essay here if you chose not to upload a separate file above.
If having trouble please email to:
kelly@moonbeamyoga.com
and type here - I emailed it. You may also email a video if it will not upload.

You may upload a file containing your first essay above if you choose not to type it here!
Please send your $250 non-refundable donation to apply for teacher training and/or the Costa Rica trip. Amounts will be applied to balances due.
$250 non-refundable donation to apply $3,225 Teacher Training & Costa Rica (I am not requesting a scholarship) $1,725 Costa Rica in Full (I am not requesting a scholarship) I do not have funds to give for the application fee
Do Not Fill This Out

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