CCC Project Forms

Once you have formulated an idea for your CCC project, and you have discussed it in brief with your assigned faculty mentor, the next step is to complete the initial project proposal form so we can provide final approval.

Community Case Competency (CCC) Initial Proposal Form

Thank you for submitting your CCC project proposal. Your faculty mentor will review it and will be contacting you shortly.

Name*
First Last
Email*
Date of Graduation or Expected Graduation*
Date Format: MM slash DD slash YYYY
Cohort*
Project Title*
Executive Summary (Abstract)*
Please keep under 500 words.
File
If your project is available in a written format (such as a PowerPoint, Case Study, Handout, etc.) please upload that file here.
Consent to Collaborate
I agree to the collaboration policy.
By checking this box I agree to allow my project proposal to be shared with other students if they have expressed interest in running a similar CCC project. If these conditions arise your faculty mentor will be in touch to determine if there is a good fit for a colleague to join your project.
CAPTCHA

ONCE YOU HAVE COMPLETED YOUR CCC, PLEASE COMPLETE AND SUBMIT THE CCC FINAL SUBMISSION FORM

Community Case Competency (CCC) Final Submission Form

Thank you for submitting your CCC project.

Name*
First Last
Date of Graduation or Expected Graduation*
Date Format: MM slash DD slash YYYY
Cohort*
Project Title*
Executive Summary (Abstract)*
Please keep under 500 words.
File*
Drop files here or
If your project is available in a written format (such as a PowerPoint, Case Study, Handout, etc.) please upload that file here.
Reflection*
Your CCC should include a 850 words or less reflection. That should include what worked in your project, what didn't work, what you would change, and how it impacted your application of MTY as Integrative & Lifestyle Medicine.
Shareable karma yoga work*
- By checking this box you acknowledge that your work is in its final, shareable format.
Your work should be presented in a format that would be shareable as a resource for colleagues or patients. The purpose of the CCC is to enrich the community at large and provide a service (karma yoga). We want to be able to share your work and mentored projects with the world at large, so pease make sure it is submitted in its final, shareable format.
Intellectual Property Policy*
- By checking this box, you hereby acknowledge that you have received the Professional Yoga Therapy Institute Policy regarding use of Intellectual Property.
As a participant in the PYT Certification program, you will be, or have already been provided access to numerous resources, including, but not limited to program course materials, processes and programming. Please note that any materials that you receive from, or that are presented at any module, class or training, including, but not limited to, written materials, processes, programming, presentations, graphics, illustrations, charts, graphs, and digital media, whether presented as hard copies or electronically, as well as the PYTI name and mark are the intellectual property (“Intellectual Property”) of Ginger Garner and/or PYTI and that Ginger Garner and/or PYTI own any and all copyrights and other rights regarding the same. Such copyrights and other rights also extend to any Intellectual Property that may be obtained via the internet or any other third party. Any individual or entity desiring to use all or part of the Intellectual Property in any capacity that is not for private use or for use in clinical practice, must first obtain the written consent of Ginger Garner, which consent may be granted or withhold in PYTI’s sole discretion. This policy applies to both verbatim use of the Intellectual Property as well as any use of materials that are substantially similar to the Intellectual Property. Any use of the Intellectual Property or any part thereof must be properly cited at all times and at every instance of use. Living Well will require individuals and entities who have been approved to use part or all of the Intellectual Property to display the proper citation. Living Well may, at its sole discretion, grant licenses to a limited number of individuals to use the Intellectual Property to provide Professional Yoga Therapist program instruction and other continuing education programs and/or license the Intellectual Property for more limited purposes.