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Group Exercise Instructor & Fitness Center Staff Information Sheet

Name:
Contact Address:
   (street, state, zip)
Campus Phone Number:
Home Phone Number:
PeopleSoft ID:
Email Address:
Expected Graduation Date (ex. 5/07)

Do you live on campus?
What area are you interested in? (check all that apply)


Please check classe(s) you are able to teach.






Please list the hours you would be able to work in the spaces below. Please specify AM or PM. If you cannot work on a particular day, type "NA".

Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
Saturday:
Sunday:

 

Please list any current certifications and fitness experience below:

Other Information:

Do you possess CPR/First Aid/AED certifications? Please list below: