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First name Last name Address 1 Address 2 Town/City Postcode
Email Phone number How many Classes do you teach What style of classes do you teach
Will you be teaching (or are you from) a disadvantaged community? YesNo Will you be teaching any of the below groups? Individuals living from Lower Socio Economic GroupsDiverse Ethnic CommunitiesLGBTQ+ communitiesIndividuals with a disabilityIndividuals with long term health conditionsFemale only classesMale only classes
Fitness Qualification/s you hold (PDF upload only Max 8mb) Please attach a copy of your qualifications here. E.g. Level 2 Exercise to music, Level 3 personal training.
Are you currently an EMD Uk Pro Member?
YesNo
If yes, please provide the email address linked to your Pro membership below Email
Please provide a written short statement to include one of the below:
1. How the CPD Training will support and develop your skills 2. How the training will benefit your local community or participant groups 3. Information about your delivery area or location, including whether you work in a disadvantaged or high - need area Please describe here
Please describe how completing this training will help to get more people participating, or will improve the retention of your current class participants
Please tick to confirm you have read and meet the eligibility and Please read the terms and conditions of the funding* Is that ok
Just before you signup* EMD UK store and process the personal data that you provide in order to deliver the product/service you require. Please read the EMD UK Privacy Notice Yes
Marketing communications (optional)
I'd like to receive marketing emails from EMD UK only, including news, offers and future opportunities. I understand I can unsubscribe at any time. By submitting this form, your details will be used to manage your CD training and membership in line with our Privacy Policy.
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