STRENGTH IN THE CITY | STRENGTH Certified Application

Personal Information

Please list all your personal information if you are an individual applying or list information of the main contact of the business (owner, studio manager, etc).
Are you applying as a(n):
Have you worked with STRENGTH IN THE CITY

YES (If you answer yes please list where in the next question)NO
If you answered YES to working with us, please list the events here. (Leave blank if you have not worked with us)
If you worked with STRENGTH IN THE CITY / STRENGTH Societies in the past who was your main Point of Contact (Leave blank if you have not worked with us)
Name*

First NameLast Name
Email*
example@example.com, of main contact
Phone Number*
Please enter a valid phone number for the main contact.
Address (if applying as a business, address of business)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Occupation/Title*
Please enter your job title or occupation (ex: yoga teacher, manager of massage studio, etc.)
Name of Studio or Business*
(Independent instructor, official name of business, etc)

Professional Information

Please fill in your professional digital presence, qualifications and certifications.
Digital Presence, please add all that apply. (WRITE N/A for any boxes that does not apply to you, all boxes must filled out)*
Years of experience in the Health and Wellness Industry?*
Notate personal and professional experience. If business, number of years you've been open.
Certifications/Business EIN (WRITE N/A for any boxes that does not apply to you, all boxes must filled out)*

Short Answer Questions

Please tell us a little more about yourself and answer the questions below.
Briefly describe why you wish to be STRENGTH Certified.*
How did you learn about it? What do you hope this certification can do for you? What is most desirable about being a part of this elite group of people? Any other comments?
Describe any community health and wellness initiatives/programs you have been a part of.*
Through an organization or something you organized yourself? Volunteer, fundraising or for profit events? How important is this to you within your work and personal life? Anything else you wish to add?

FINAL STEP!

We can't wait to connect with you.
Type of Application*

InstructorStudio/BusinessWellness Practitioner - individualWellness CompanyPhotographer/VideographerDJOther
Please describe below if you selected 'Other - type of application'
Agreement, please sign*

I hereby certify that all information provided above is accurate to the best of my knowledge. I understand that the application fee is non-refundable. If not accepted this year, I am eligible to reapply the following year. I also understand that any misrepresentation or falsification may result in disqualification from the STRENGTH Certified program.

My Products

Application FeeThis covers the processing fee for the STRENGTH Certified application.

$19.99

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Total

$0.00

Personal Information