Instructor Application

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DePauw Fitness Instructor Application
Complete application, save to your computer and send via email to jamiemueller@depauw.edu.
Name:
DePauw email address:
Cell phone number:
Class(es) interested in teaching:
Provide information below for each type of class you want to teach.
Why do you want to be an instructor?
How long have you been practicing or participating in this type of fitness?
How often do you practice or participate in this type of fitness?
Have you received any formal training for teaching this type of fitness? If so, please list all classes,
workshops or self study you have done.
What other experience do you have that will be helpful as an instructor?
Are you willing to participate in training to become a certified instructor? This training may include
workshop participation and significant self-study.
Please list any teaching experience here:
Please list any leadership positions you have held and include a brief description of your responsibilities:
List any semesters/years that you plan to study off-campus:
Additional comments:
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Signature
_____________________
Date
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