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PTGP Class of 2015 Application
BEFORE YOU COMPLETE THIS APPLICATION, YOU MUST BE ABLE TO ANSWER YES TO THE FOLLOWING QUESTIONS:
Will you be at least 40 years of age by the end of January 2015?
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Yes
No
Punctuality is key!!! Are you able to arrive and be ready to start by 5:29 pm? Please note that a 10 minute tardy is the same as an absence!
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Yes
No
You are only allowed three absences before you are removed from the program. Can you make a 12-week commitment?
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Yes
No
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Indicates required field
Name
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First
Last
Age
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Email
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Please think about your answers before you submit your application.
There are only 35 spots available.
Why should YOU be selected for PTGP?
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If you are selected, what is your S.M.A.R.T. goal?
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Please put some serious thought into these questions. Remember, there are several other women wanting in this program. A S.M.A.R.T. goal is: Specific Measureable Achievable Realistic Time-defined Example of an incorrect answer: "I want to lose weight." Example of a correct S.M.A.R.T. goal: "I will lose 15 pounds, prior to April 1, 2015, by walking 25 miles per week and attending MAKIN' MOVES three days per week."
I'm ready to start MAKIN' MOVES!!
I'm ready to start MAKIN' MOVES!!!
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Indicates required field
Name
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First
Last
Date of Birth
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Are you on Facebook?
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Yes
No
Option 3
If you are on Facebook, please do the following: 1) Like www.facebook.com/startmakinmoves 2) send me a friend request at www.makinmoves.com/chris.omni
Email
*
What do you want to accomplish in 8 weeks?
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Why should you be selected to join the Fall 2014 class?
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There are only 15 slots available. Please take your time when completing this question.
Submit
MAKIN' MOVES
High Five
Black Butterflyz
The Dream
Testimonials
Community Partners
Public Relations