CONTACT INFO:
*Name:
Contact Person for this Application (if different than above):
Name of Business/Organization:
*Address:
Address
*City:
*State/Region:
*Zip/Postal Code:
*Country:
*Phone: (country code) (city/area code) number
Fax: (country code) (city/area code) number
*Email:
Web Site:
QUALIFICATIONS:
Please provide us with the following information:
Have you been teaching Pilates for a minimum of 5 years?:
Yes
No
Or, can you demonstrate equivalent qualification if applying to teach in related field?:
Yes
No
Are you a Member of the PMA?:
Yes
No
Are you a PMA Certified Pilates Teacher™?:
Yes
No
Are you currently a CEC provider for another organization?:
Yes
No
If Yes, which organizations:
*Which Pilates program are you trained through?:
*Date completed training:
Please list any other applicable certification or training along with the correlating organization providing training:
Please list College or University degrees:
Please list years of prior PMA presenting experience:
ESSAY:
Required for instructors with less than 5 years teaching experience.
Highly recommended for all applicants, as these answers will assist in the selection process.
Why do you think you should be selected to be a mat teacher at the PMA conference?
What unique qualities or experiences can you offer attendees of the PMA conference?:
Is there anything else you would like to share to help us make an informed decision regarding your application?
UPLOADS:
*Please upload your professional resume. On your resume, please include related coursework taught at other conferences in the past.
*Please upload your headshot to be used in the conference brochure (Note: your image will be used only if you are accepted). Please use one of the following formats: 300dpi at 4’ x 6’, black & white or color. .jpg .tiff or .eps. I acknowledge that the PMA will not be able to accept low resolution, 72-DPI images.
Please upload your Biography (40 words max - to be used in conference materials if you are selected):
CHECKLIST:
Please indicate in each instance below that you have completed the request by checking the box. You will not be able to submit the application until you do!
*I have completed the Conference Presenter application form in its entirety.
*I will request one written reference from a qualified professional that is familiar with my expertise. The reference letter should be mailed directly to the PMA office by the person who wrote the letter. Please have the letter sent to the attention of Denise Dixon , who will include it in your file. If you have presented at the PMA conference before, you do not need to send a reference letter.
*If applying for the first time to be a Mat or Workshop presenter, I will send TWO COPIES of a ten-minute DVD, that shows me speaking or presenting in front of a group of people to the PMA office, to the attention of Denise Dixon. I UNDERSTAND THAT MY DVD WILL NOT BE RETURNED. I WILL NOT SEND MY ONLY COPY! I WILL NOT SEND VIDEO TAPE. I understand that my application cannot be reviewed until or unless the DVDs are received by the PMA. I understand that I will receive confirmation that PMA has received by DVDs. If I do not receive confirmation, it is my responsibility to follow up with PMA.
I confirm that I understand the following:
*I know that I may be asked to present my class or workshop 3 or 4 times throughout the conference. I will inform the PMA of any scheduling conflicts during conference dates. I understand that the PMA cannot guarantee that my scheduling needs can be accommodated.
Scheduling conflicts:
*I agree not to offer this workshop/presentation for sixty days after the PMA annual conference. This is in my best interest for maximum attendance and exposure to my ideas.
*I understand that no hard paper copies of the Presenters Application will be accepted.