Unique Professional Fitness & Aerobics Inc.

Aerobics Instructor Application

Date: ___________

Name: __________________________________________

Address: ______________________________________________________________________________

______________________________________________________________________________

Phone: _____________________

Current Employment (List and describe duties and Hours): ______________________________________

______________________________________________________________________________

If a College Student:

Year: ________________ Class Schedule: ______________________________

Major/Minor ___________________________ __________________________________________

Do You Have Aerobic Teaching Experience? Yes No

List the Types of Classes You Have Taught __________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Current CPR Certification? Yes No

Current Aerobic Certification? Yes No

Organizations(s) Certified by: ____________________________________________________________

Describe Other Related Experience That Qualifies You to Instruct Aerobic/Toning classes: ____________

______________________________________________________________________________

Availability to Work _____________________________________________________________________

______________________________________________________________________________

Why do You Want to Teach At Unique Fitness & Aerobic? _____________________________________

______________________________________________________________________________

References: (Name, Relationship, and Phone Number):

1. __________________________________________________________________________________

2. __________________________________________________________________________________

3. __________________________________________________________________________________