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Cross Core Training & Pilates

By Susie G

On-Line Applicaton

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On-Line Applicaton

Name *

First

Last

NOTE: Name as you would like it to appear on your diploma (If your name changes you must inform us to receive your accurate diploma, new diplomas are $20)

Address *

(if your address changes you must inform us to receive your diploma)

Phone Number *

Email *

Date of Birth *

Emergency Contact *

Name, relation, best contact phone number

How would you like to take your training program? *

In Person
Virtually
Either

COURSES OF INTEREST - PSC PILATES TEACHER TRAINING PROGRAM

Fundamentals and Philosophy (Nuts and Bolts)
Mat
Reformer
Cadillac
Chair
Barrels and Arcs
Small Apparatus

Please check all that apply.

COURSES OF INTEREST - PSC PILATES BRIDGE PROGRAM*

Mat
Reformer
Cadillac
Chair
Barrels and Arcs
Small Apparatus

*Bridge Program requires proof of completion of a comparable PMA approved program. Specify and list modules you have proof of completing including program name and dates:

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How were you referred to PSC?

Please list anyone you know who has attended the PSC Pilates Teacher Training Program, Workshops, and/or worked with our company:

How long have you practiced pilates? *

Approximately how many pilates classes have you taken in your practice? *

Approximately how many privates have you taken in your practice? *

Have you mainly practiced *

List any and all training certificates and previous experience you have as a fitness trainer: *

Describe your background (including pilates) and list your reasons for interest in the course:

List your past and present occupations, including outstanding achievements in your career: *

Please list any advanced degrees and/or certifications you hold:

Do you have any teaching experience? If so, what kind of classes have you taught? *

Explain your experience working with, or teaching people: *

Is this a career change for you, a hobby? Would you like to have this as a part or full-time career? Why? *

What do you plan on doing with your Pilates certification? *

List three expectations you have of the PSC Teacher Training Course: *

List three professional goals you hope to achieve when you've completed the course: *

Do you plan on taking the National Pilates Certification Exam? *

How soon would you like to begin your training? *

What is your desired timeframe for completing the module or program you are applying for? *

I will pay for the training program: *

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