Fields marked with a * are required
Information About Nominee
Street Address or P.O. Box
City, State, zip code (USA)
City, Country (outside USA)
Daytime Phone (including international country code)
Evening Phone (including international country code)
Relationship to Anusara School of Hatha Yoga (for example, licensed teacher, student in teacher training, student/practitioner, friend of THE SCHOOL who wants to help)
For licensed Anusara teachers only: Are you an Elements, Inspired or Certified teacher? When did you first become licensed?
Please write one paragraph that explains the ways in which you meet(s)
each of the following qualifications (1-4) for serving on the School’s Board of Directors. This could include relevant experience or simply your beliefs.
1) A commitment to the Anusara method and the School’s growth:
2) Adherence to the School’s core values and philosophy
3) Alignment with the School’s organizational culture, which includes decision-making by consensus and a commitment to compassionate communication:
4) Availability to spend at least 8-10 hours a month for one year on Board work:
5) Anything else that you would like us to know or keep in mind about you:
While individual Board members are
not expected to possess all of the skills listed below, the Board as a whole will reflect a rainbow of skills in these areas. Please explain your skills and experience in any of these areas. Please be as specific as possible and include any examples to help the Nominating Committee understand the breadth and depth of your experience.
Governance (preferably of a nonprofit organization):
Human Resource management:
Conflict resolution and/or mediation:
Knowledge of Tantric philosophy and spiritual teachings:
Agreement and Signature
By submitting this nomination, I affirm that the facts set forth in it are true and complete. I understand that if I am selected to serve on the Board of Directors, I will serve for a three-year term. Any false statements, omissions, or other misrepresentations made by me on this nomination form may result in my immediate dismissal. By submitting this form, I am give permission for the Anusara School of Hatha Yoga to send me emails and other communications related to this nominations process.
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender or gender identity, sexual preference, age, or disability.
To Submit Your Application
Submissions are due by Sunday July 14, 2019.