PTGP Application

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? *

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! *

Yes No

You are only allowed three absences before you are removed from the program. Can you make a 12-week commitment? *

Yes No

Name *

First

Last

Age *

Email *

Why should YOU be selected for PTGP? *

If you are selected, what is your S.M.A.R.T. goal? *

I'm ready to start MAKIN' MOVES!!

Name *

First

Last

Date of Birth *

Are you on Facebook? *

Email *

What do you want to accomplish in 8 weeks? *

Why should you be selected to join the Fall 2014 class? *

Submit