Wwe Application Form PDF Details

The process of becoming a leader for the Arthritis Foundation Walk with Ease Program is encapsulated in the detailed and comprehensive Leader Workshop Application Form. Set against the backdrop of the Department of Disabilities and Special Needs in South Carolina, this form serves as the first step for interested individuals to take on the noble task of facilitating exercise classes tailored for people with arthritis. Scheduled for May 23, 2012, with an application deadline of May 16, the form requires applicants to provide extensive contact information, a careful account of both their qualifications—including current ADULT CPR certification—and their experience in health, fitness, education, or related fields. It probes into the applicants' motivation for wanting to lead such a program and their personal or professional connection to arthritis. In addition to asking about previous engagement with the Arthritis Foundation's programs, it outlines the process for submitting a registration fee, further solidifying the applicant's commitment. The form also features a Statement of Understanding, ensuring that all prospective leaders are aligned with the Foundation's operational policies, copyright respects, and data reporting requirements, along with a commitment to conducting a minimum number of Walk with Ease sessions annually. This application process not only screens for qualified and dedicated individuals but also sets the stage for a structured and impactful delivery of the Arthritis Foundation's signature walking program.

QuestionAnswer
Form NameWwe Application Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other nameswwe how to join, wwe application, wwe application form 2021, wwe join form

Form Preview Example

Leader Workshop

Application Form

Date of Training: May 23, 2012 Location: Department of Disabilities and Special Needs,

3440 Harden St. Extension, Room 251, Columbia, SC 29203

Applications due by May 16, 2012

COMPLETE ALL SECTIONS. TYPE OR PRINT NEATLY.

Today’s Date: _________________________

CONTACT INFORMATION

First Name:

MI:

Last Name:

 

 

 

Job Title:

 

 

 

 

 

 

 

Organization:

 

 

 

 

 

 

 

Work Address:

 

 

 

 

 

 

 

City:

 

 

 

State:

 

Zip:

 

Home Address:

 

 

 

 

 

 

 

City:

 

 

 

State:

 

Zip:

 

Home Phone:

 

Work Phone:

 

 

Cell Phone:

 

Email:

 

 

 

 

 

 

 

For Arthritis Foundation correspondence, please contact me at: My worksite (if applicable)

My home

FACILITY INFORMATION

Please provide information about the host facility where you plan to conduct the Arthritis Foundation Walk with Ease Program classes (if different from your job location):

Facility Name:

Address:

City:

State:

Zip:

Administrator/ Contact Person Name:

 

 

Phone number

Email address:

 

Does the location where you plan to teach have a signed Program Co-sponsorship Agreement with the AF?

YES

NO

QUALIFICATIONS *Attach copy of card

Do you have current ADULT CPR certification? (Required)

YES*

NO

Do you have current First Aid certification (Recommended)

YES*

NO

List other relevant certifications and their expiration date:

 

 

 

 

 

EXPERIENCE

What professional or volunteer experience have you had leading exercise classes, conducting workshops or speaking in public?

What is your profession and/or background in health, fitness or education? List any relevant degrees or course work.

What other experience do you have that you feel would be beneficial in leading AF programs (such as work with people with disabilities, older adults, people with special needs)?

What is your experience with arthritis (personal or family member diagnosis, or work with people with arthritis)?

Why do you want to teach the Arthritis Foundation Walk with Ease Program? What benefits would you like to gain from leading this program?

How did you become aware of the Arthritis Foundation Walk with Ease Program?

Have you been a participant or leader/ instructor in any other Arthritis Foundation program and if so, please list:

FEE INFORMATION

Please charge

 

 

Please send complete application, payment and

$

 

 

 

attached SIGNED Statement of Understanding to:

to my

AMEX

VISA

MC

 

Card #: ______________________________________

SC DHEC

Pat Williams

 

 

 

 

Expires: ______________________________________

Box 101106, Mills/Jarrett Bldg.

Name on Card: ________________________________

Columbia, SC 29211

 

Signature: ____________________________________

Phone: (803) 898-0760

Please make checks payable to: Arthritis Foundation

Fax: (803) 898-0350

 

Registration Fee is $25

 

 

 

 

 

 

 

 

2

Statement of Understanding

The Arthritis Foundation has established the following policies and procedures to ensure the quality of its programs. Please sign below to indicate your acknowledgement and acceptance of these requirements:

I will conduct an Arthritis Foundation WALK WITH EASE Program six‐week group walk within three months of completing the WALK WITH EASE training workshop and a second walk within twelve months of the training. I agree to conduct walks twice annually thereafter.

I understand that AF certification provides me with a limited license to deliver the WALK WITH EASE program as long as I maintain my affiliation with the Arthritis Foundation and uphold its policies and procedures. I acknowledge that the program materials are copyrighted and agree to honor the program’s copyright protection.

I agree to follow the standardized program curriculum and will not make any variations in the approved program content or process described in the Leader’s Guide without prior written permission.

I understand the AF liability insurance only covers me when I offer AF classes at sites that have a signed Program Co‐sponsorship Agreement on file with the AF documenting their compliance with AF policies and their acceptability as host sites, including adequate insurance coverage and accessibility to people with disabilities. I agree to notify the AF if I stop teaching the AF program at the approved site or if my teaching status changes.

I will conduct and support marketing efforts for the AF classes in my community in collaboration with the AF

and DHEC. I will notify DHEC well in advance of each walk to assure adequate time for promotion and other preparations. I will assure that participants recognize the AF’s co‐sponsorship of the classes. I will provide participants with information about other AF programs and services.

To protect the AF and the host facility against legal claims, I will secure Participant Release Forms from all new course participants and will submit these forms to the AF.

I will submit complete and timely participant data and participate in any other data collection projects that the Arthritis Foundation uses to measure the reach, quality and/or impact of the Walk with Ease Program in accordance with a specified reporting schedule and method.

I agree to uphold and maintain the policies, procedures, standards and curriculum of the WALK WITH EASE Program and to not make any variations in the approved program content or process without prior written permission. I also agree to fulfill all obligations listed in the WALK WITH EASE Leader Position Description and Leader’s Guide.

I understand that the Arthritis Foundation is a voluntary health organization. If serving in a voluntary capacity, I understand that I am not entitled to receive compensation or employee benefits from the Arthritis Foundation.

I HAVE READ AND I UNDERSTAND THE PRECEDING STATEMENTS. I FURTHER UNDERSTAND THAT COMPLIANCE WITH THIS STATEMENT OF UNDERSTANDING IS REQUIRED FOR MY TRAINING AND CONTINUED PARTICIPATION AS AN ARTHRITIS FOUNDATION WALK WITH EASE LEADER.

____________________________________________

___________________

Print Name of Leader Applicant

Date

____________________________________________

 

Signature

 

3

How to Edit Wwe Application Form Online for Free

Completing wwe form is not difficult. We designed our tool to really make it convenient and help you complete any PDF online. Below are a few steps that you should take:

Step 1: Click the button "Get Form Here".

Step 2: As soon as you have entered the wwe form edit page, you'll see all functions it is possible to take regarding your document in the upper menu.

All of these sections are within the PDF template you'll be filling in.

wwe join form empty fields to consider

Enter the required information in Please provide information about, Facility Name, Address, City, State, Zip, Administrator Contact Person Name, Phone number, Email address, and Does the location where you plan area.

Completing wwe join form part 2

Determine the significant data in the QUALIFICATIONS Attach copy of card, YES NO YES NO, EXPERIENCE What professional or, What is your profession andor, What other experience do you have, and What is your experience with field.

wwe join form QUALIFICATIONS Attach copy of card, YES NO YES NO, EXPERIENCE What professional or, What is your profession andor, What other experience do you have, and What is your experience with fields to fill

Identify the rights and responsibilities of the sides within the box Why do you want to teach the, How did you become aware of the, Have you been a participant or, FEE INFORMATION Please charge, to my, AMEX, VISA, Card, Expires, Name on Card, Signature, Please make checks payable to, Registration Fee is, Please send complete application, and SC DHEC Pat Williams Box.

stage 4 to entering details in wwe join form

Finalize by analyzing all of these sections and typing in the proper data: I HAVE READ AND I UNDERSTAND THE, Print Name of Leader Applicant, Date, and Signature.

part 5 to completing wwe join form

Step 3: Click the button "Done". The PDF file can be exported. You will be able obtain it to your computer or send it by email.

Step 4: Create duplicates of the template. It will protect you from possible future issues. We cannot check or share your details, so you can be confident it is safe.

Watch Wwe Application Form Video Instruction

Wwe Application Form isn’t the one you’re looking for?

Related Documents

  • Zaxbys Application

    "... Prices may differ by area. Please contact your local Zax franchisee for more information. ..."

  • Wyoming Medicaid Edi Application

    "... Page revised November 2011. Please type or print all information. Incomplete forms may cause delays in the approval. ..."

  • Yogurt Zone Application

    "... Personal information for employment applications: Last name, street address and zip code Contact information Home telephone Mobile Email Are you at least 18 Years of Age? If yes, explain the start date. Can you work ..."

  • Yourtini Employment Application

    "... Apply for a job at yogurt. Please tell us your personal information first name, middle name and email address. If you have, when did you apply for the position. ..."

Please rate Wwe Application Form

1 Votes

Related Resources

If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .