Stay Young Fitness Corporation
* required fields
Subcontractor Questionnaire

*Full Name *E-Mail  
*Street
*City *State
*Zip *Phone xxx-xxx-xxxx
 

What is your current availability?

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
 
From
From
From
From
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From
From
           
To
To
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To
 
                 

   
Please add any additional comments regarding your schedule:
 
*1. What position are you applying for?



     

     
*2. Do you have reliable transportation?    
Yes No                      

     
*3. Do you have a preference to work with male or female clients?      
Male Female No preference                

     
4. Do you have any specific specialties? Ex. Personal Trainer (Kickboxing, weight training, yoga, pilates)Massage Therapist (shiatzu, deep tissue, kinesiology), etc.? If so, please list them below:    
   

     
*5. Do you have a current cpr/first aid certification?    
Yes No                  

     
*6. Do you have a current personal training, nutritionist, or massage therapy certification or related degree?    
Yes No (If yes, please list certification and type below:)      
     

     

*7. What is the maximum distance you are willing to travel for a One-Hour personal training session?

     
Please select                  

     
*8. What is your desired pay for a One-Hour Session?      
per session          

     
*9. What is the maximum distance you are willing to travel for a 30 Minute Personal Training Session?      
Please Select          

     
*10. What is your desired pay per 30 Minute Training Session?
Please Select                  

     
*11. What are your goals for your fitness industry career?      
     

     
*12. How long have you been exercising consistently?      
years                  

     

*13. What would you consider to be your best trait for working in the fitness industry and how will it help you in your career?

   
     

     

*15. What do you enjoy the most about exercise and the fitness industry?

   
     

     

*16. Whay type of mobile phone do you have? ex. iPhone, Android, etc.

   
     

     
*17. How much experience do you have working one-on-one with clients?      






     
       
       
18. Please add any additional comments you feel pertain to this questionnaire:      
     

     
     
     
       
I certify that the statements made by me on this application are true and complete to the best of my knowledge and are made in
good faith. I understand that if I knowingly make any misstatement of fact, I am subject to disqualification and dismissal and to such other penalties as may be prescribed by law or personnel regulations. All statements made on this application, including
employment information, are subject to verification as a condition of employment.