Instructor Certification Spring 2013 Survey

1. Please provide your contact information

Please provide your contact information First Name:
Last Name:
Email:
Phone Number:
What part of the city do you live in?

2. Movement, Anatomy, Teaching and Pilates Experience. Please note that enthusiasm can substitute for experience.

	None	Little	Moderate	Vast
Movement or Fitness Training:	*Movement, Anatomy, Teaching and Pilates Experience. Please note that enthusiasm can substitute for experience. Movement or Fitness Training: None	Movement or Fitness Training: Little	Movement or Fitness Training: Moderate	Movement or Fitness Training: Vast
Anatomy Training:	Anatomy Training: None	Anatomy Training: Little	Anatomy Training: Moderate	Anatomy Training: Vast
Teaching Experience of Any Kind:	Teaching Experience of Any Kind: None	Teaching Experience of Any Kind: Little	Teaching Experience of Any Kind: Moderate	Teaching Experience of Any Kind: Vast
Pilates Experience:	Pilates Experience: None	Pilates Experience: Little	Pilates Experience: Moderate	Pilates Experience: Vast
Massage Training:	Massage Training: None	Massage Training: Little	Massage Training: Moderate	Massage Training: Vast

Other (please specify)

3. What interests you in taking a Pilates Instructor Certification Program?

What interests you in taking a Pilates Instructor Certification Program?

4. What program(s) are you interested in?

What program(s) are you interested in? Pilates Instructor Training Work-study/employment Contract.

Pilates Instructor Training for Massage Practitioners.

Pilates Instructor Training Work-study/half payment.

5. Please tell us about your current employment status and how many hours you work weekly, if applicable.

Please tell us about your current employment status and how many hours you work weekly, if applicable.

6. Dates/Times you are available for an interview

	9am	10am	11am	12pm	1pm	2pm	3pm	4pm	5pm	6pm
Thursday 2/14	*Dates/Times you are available for an interview Thursday 2/14 9am	Thursday 2/14 10am	Thursday 2/14 11am	Thursday 2/14 12pm	Thursday 2/14 1pm	Thursday 2/14 2pm	Thursday 2/14 3pm	Thursday 2/14 4pm	Thursday 2/14 5pm	Thursday 2/14 6pm
Friday 2/15	Friday 2/15 9am	Friday 2/15 10am	Friday 2/15 11am	Friday 2/15 12pm	Friday 2/15 1pm	Friday 2/15 2pm	Friday 2/15 3pm	Friday 2/15 4pm	Friday 2/15 5pm	Friday 2/15 6pm
Wednesday 2/20	Wednesday 2/20 9am	Wednesday 2/20 10am	Wednesday 2/20 11am	Wednesday 2/20 12pm	Wednesday 2/20 1pm	Wednesday 2/20 2pm	Wednesday 2/20 3pm	Wednesday 2/20 4pm	Wednesday 2/20 5pm	Wednesday 2/20 6pm
Thursday 2/21	Thursday 2/21 9am	Thursday 2/21 10am	Thursday 2/21 11am	Thursday 2/21 12pm	Thursday 2/21 1pm	Thursday 2/21 2pm	Thursday 2/21 3pm	Thursday 2/21 4pm	Thursday 2/21 5pm	Thursday 2/21 6pm
Friday 2/22	Friday 2/22 9am	Friday 2/22 10am	Friday 2/22 11am	Friday 2/22 12pm	Friday 2/22 1pm	Friday 2/22 2pm	Friday 2/22 3pm	Friday 2/22 4pm	Friday 2/22 5pm	Friday 2/22 6pm

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