Apply for a PUSH_ Training License

The form below is a complete license application form, please fill this out and we shall contact you ASAP.

Note: PUSH is currently set up as a license business to be set up as the personal training component within a health club. It is not set up as a separate business and you will only be considered if you are a club owner.

Your Privacy: PUSH_ Training systems understands that you, are concerned about your privacy and about the confidentiality and security of information we may gain about you online. PUSH_ Training systems is committed to protecting your privacy and will never pass information collected onto a third party without your expressed permission.

Personal Information

Name

Email

Phone

Mobile

Present Address

Business Information

Are You Self Employed?

How Many Years Self Employed?

If not self employed, Years Employed

Occupation

Can you be contacted at work?

Previous Employer

Previous Employer Contact Tel Number

Number of years you were employed

What was your occupation

Your Reason For Leaving

Details Of Any Business Experience You Have

What is your current health club Called?

What is the address?

Website:

How many members?

What is the average member spend per month?

How many personal training sessions per week?

How many personal trainers?

What are your main concerns with personal training?

Educational Information

Are you currently qualified at Certificate IV level in Fitness?

If not, please give reason.

School or Institution attended

Grade Or Degree Attained

School or Institution attended

Grade Or Degree Attained

School or Institution attended

Grade Or Degree Attained

References

Business Reference:
Name Of Referee

Occupation

Address

Telephone

Personal Reference:
Name Of Referee

Occupation

Address

Telephone

What do you know about this license?

How did you Find out about PUSH?

Why do you wish to get involved in this license?

Where would you like to set up your license?

When would you wish to commence your license?

Do you intend to work full-time in the business?

If no to the above, who will be responsible for the daily operation of the business?

If other individuals will be involved in financing the business, please provide details

Have you been insolvent during the last 10 years?

If so, please provide details:

Have you been the subject of any court proceedings, past or present?

If so, please provide details:

I declare that the information contained in this application is correct