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Do you speak a language
other than English at home? If yes please specify
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No
Yes
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Are you proficient in English?
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Do you have any
disabilities that we should be aware of? If so, please specify.
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Highest school level completed
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What year did you
finish school?
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How
many private Pilates sessions have you done in the last 12 months and where.
Please specify the method of Pilates
you have been working on. If you are bridging, please state details below of
your previous Pilates certification.
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Employment status?
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Other :
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Reason for study?
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To
get job
To
get a job or promotion
To
develop my existing business
To start my own business
It
was required for
My job
To
change careers
To increase
my skills
To
get into another course
For
personal development
Other :
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Relevant experience and background
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Course details
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Course name
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Course location
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Course Date
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Application Declaration
This section must be completed
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I would like to apply for enrolment with Authentic Pilates Education New Zealand (APENZ) - teacher training course to be held at the Authentic Pilates Studio, and agree to abide by the rules, protocol and student code of conduct set by the APENZ and I agree to maintain proper behaviour during my enrolment. I understand my enrolment can be suspended or cancelled should I breach the rules and protocols, use inappropriate behaviour, or endanger others or myself.
I have read and understood the APENZ Code of Ethics.
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I understand that a deposit of $1950 must be paid online into 03-1502-0009245-000 once my enrolment is accepted into the course. I understand that the remaining course fees are to be paid 2 weeks prior to the commencement of each seminar. Once paid, these fees are non refundable.
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I further agree to give APENZ fourteen (14) days notice if I do not intend to attend the seminar I have been enrolled into and agree if I fail to give such notice then I am liable for the full course fee to be invoiced.
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I have read and understood the Authentic Pilates Education Codes of Ethics.
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I understand and agree that I will apply these ethics to my work practice in accordance with the Authentic Pilates Education Student / Apprentice Code of Practice.
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Name (signature):
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DEPOSIT FOR AUTHENTIC PILATES EDUCATION
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Card Type
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Name on Card
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Card Number
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CCV
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Amount
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$
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Verify:
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