BOSU® MASTER TRAINER APPLICATION

APPLICANT INFORMATION:
*First Name:
* Last Name:
* Email:
* Confirm Email:
* Address:
* City:
* State/Province:
* Zip/Postal Code:
* Country:
* Day Phone
Evening Phone:
Fax:





BOSU® EXPERIENCE

Do you currently teach or train with the BOSU® Balance Trainer? Yes   |   No

If yes, number of years?

If yes, please describe:

Do you currently own the COMPLETE System? Yes   |   No

Have you been through the BOSU® Complete Specialty Certificate (5hr workshop)? Yes   |   No

If yes, with whom, where & when?

Have you been through the BOSU® Complete Workout System Intro Workout (1.5 - 2hr workshop)? Yes   |   No

If yes, with whom, where & when?



EDUCATION / CERTIFICATION INFORMATION

Are you currently a provider for the following organizations: ACE   |   AFAA   |   OTHER

Current Certification Information:
ACE   |   Exp Date
AFAA   |   Exp Date
OTHER   |   Type   |   Exp Date

Degree Information:

Current Position

Facility

Have you delivered continuing education workshops in the past? Yes   |   No

If yes, please expand



BIOGRAPHY / RESUME INFORMATION

Current Biography - Please list your current position, your degrees and any other noteworthy achievements or activities. (Limited to 30 words)


Extended Biography - We are able to accept extended biographies to publish on our website. You may provide us with a longer biography if desired. (Limited to 100 words)


Please submit a current resume that details your fitness industry experience. (Limited to 2000 words)


3 Professional References:

SFR assumes any and all responsibility pertaining to the approval or denial of BOSU® Master Trainer applications.

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