APPLICATION FORM - PRIVATE AND CONFIDENTIAL
PILATES MATWORK TEACHER TRAINING COURSE
In order to apply for our current Pilates Matwork training course, please complete the following tick list:
Complete the application form below, including one page of creative writing on why you want to be a Pilates Teacher and what you think you can bring to this vocation.
Submit a current CV listing relevant qualifications and education (email to cat@margatatepilatesstudio.com)
Learning Type - https://vark-learn.com/the-vark-questionnaire/ to take the test and detail any other learning support required:
VISUAL / AUDITORY / READ & WRITE / KINAESTHETIC / MULTIMODAL / SEN:
Please tick to give permission for your details to be shared with PDA (our quality assurance team) for registration and certification purposes.
Please tick to confirm you have fulfilled the prerequisite class hours (25 hours)
Completed applications are due by the date listed on our website.
I declare that the information given in this questionnaire is true and complete.
Signature:
Date:
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Month
-
Day
Year
Date
Name:
First Name
Last Name
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Telephone:
Format: (000) 000-0000.
Email:
example@example.com
Date of Birth:
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Month
-
Day
Year
Date
Gender:
Marital Status:
Occupation:
Nationality:
Emergency Contact (name and contact details):
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APPLICATION FORM - PRIVATE & CONFIDENTIAL
What is your experience with Pilates? Please list length and type of practice.
What has Pilates done for you in your life?
Any other special interests:
MEDICAL DETAILS
General Practitioner:
Address:
Post Code:
Telephone:
Format: (000) 000-0000.
Medical History (YES / NO/ DETAILS)
1. Are you currently taking any prescribed medication?
2. Do you suffer from any heart conditions?
3. Do you suffer from low / high blood pressure?
4. Do you have any musculoskeletal problems?
5. Do you suffer from asthma or any respiratory problems?
6. Have you undergone any surgeries in the last 10 years?
7. Do you have any history of diabetes?
8. Do you suffer from headaches or migraines?
9. Do you suffer from any persistent illnesses?
10. Have you had any children / pregnancies?
Do you currently have any conditions (physical, health, life, etc...) that might affect your ability to take part in any aspect of the course? If so, please detail as we'll be happy to discuss:
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APPLICATION FORM - PRIVATE & CONFIDENTIAL
One A4 page Creative Writing Piece on why you want to become a Pilates Teacher and what you think you can bring to this vocation.
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