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Wellness Teacher Application
(Examples: yoga, pilates, kickboxing, zumba, etc.)
Wellness Application
Please note that all fields followed by an asterisk must be filled in.
First Name*
First Name*
Last Name*
Last Name*
E-mail Address*
E-mail Address*
Street Address*
Street Address*
City*
City*
State/Prov*
State/Prov*
Zip/Postal Code*
Zip/Postal Code*
Box Number*
Box Number*
Phone Number*
Phone Number*
Year in School*
Year in School*
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Freshman
Sophomore
Junior
Senior
Major/Endorsements
Please list any wellness classes you are interested in teaching and what your experience is with that area
Are you certified to teach a wellness class? (Including yoga, Pilates, Tae Bo, Zumba, Kickboxing, Body Building)*
Are you certified to teach a wellness class? (Including yoga, Pilates, Tae Bo, Zumba, Kickboxing, Body Building)*
Yes
No
List the type of certification
Are you interested in being paid to teach classes or getting academic credit as a practicum?*
Are you interested in being paid to teach classes or getting academic credit as a practicum?*
Paid
Practicum
If you are interested in the Practicum, will your schedul allow you to spend 8-10 hours a week teaching, planning, and preparing for a wellness class offered either on campus or at the Living Arts Studio in town?
Yes
No
Do you have a supervising professor or professional who will be able to oversee your practicum/internship? If so, please list their title and contact information.
Please enter the word that you see below.
