PSC TT Program Application

Fill out the below and submit

Name *

First

Last

Email *

Phone Number *

Date of Birth *

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

COURSES OF INTEREST
(Check all that apply)

HOW WOULD YOU LIKE TO TAKE YOUR TRAINING PROGRAM? *

In Person Virtually Either

Address *

Line 1

Line 2

City

State

Zip Code

Country

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

How were you referred to PSC? *

Emergency Contact *

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

PILATES BACKGROUND & EXPERIENCE

How long have you practice Pilates? *

Approximately how many 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 (include Pilates) and reasons for your interest in the course: *

CAREER HISTORY

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

Please list any advanced degrees and 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: *

COURSE EXPECTATIONS & CAREER GOALS

* Indicates required field

Is this a career change for you, a hobby choice or would like to have this as either a part-time or full-time career and why? *

What do you plan on doing with you Pilates Certification when you are finished? *

List 3 expectations you have of the PSC Teacher Training Course: *

List 3 career goals you have in becoming a Pilates Teacher: *

Are you interested in taking the National Pilates Certification Exam? *

Yes No Maybe

COMMITMENT LEVEL

How soon would like to begin your training? *

What is your desired time-frame in completing the module or program you are applying for? *

How do you plan on paying for the Training Program, in full or payment plan? *

Please note that this is a big financial and time commitment.

Upload File/Resume Here *

Max file size: 20MB

Submit

PSC Program Application

Fill out the below and submit

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

COURSES OF INTEREST
(Check all that apply)

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

PILATES BACKGROUND & EXPERIENCE

CAREER HISTORY

COURSE EXPECTATIONS & CAREER GOALS

COMMITMENT LEVEL

Please note that this is a big financial and time commitment.

Body Balancing by Darcie
Movement + Wellness Collective

4735 S Durango Dr Suite 101, Las Vegas, NV 89147

PSC Program Application

Fill out the below and submit

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

COURSES OF INTEREST(Check all that apply)

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

PILATES BACKGROUND & EXPERIENCE

CAREER HISTORY

COURSE EXPECTATIONS & CAREER GOALS

COMMITMENT LEVEL

Please note that this is a big financial and time commitment.

Body Balancing by Darcie​Movement + Wellness Collective

​4735 S Durango Dr Suite 101, Las Vegas, NV 89147

COURSES OF INTEREST
(Check all that apply)

Body Balancing by Darcie
Movement + Wellness Collective

4735 S Durango Dr Suite 101, Las Vegas, NV 89147