Work Placement Studio: Application

Thank you for applying to join the Pilates ITC Work Placement Affiliate Studio program! We are looking forward to welcoming you to our community and to working together to support the next generation of future Pilates instructors. Please ensure you read 'What's Involved' on our Website before submitting your application below.

 

Should you have any questions, please contact us at administration@pilatesitc.edu.au or call us (08) 9330 4570 and we look forward to receiving your completed application!


Service Group
01 Jan 2024 - 31 Dec 2024

Work Placement Studio Details

Please provide details as per the questions below.

Studio Name
Basic - Text
Studio Owner - First Name
Entity Data - Profile - First Name
Studio Owner - Surname
Entity Data - Profile - Surname
Studio Email
Basic - Text
Studio Website
Basic - Text
Studio Phone Number
Entity Data - Contact - Work - Phone Number
Studio Owner Mobile Number (Optional)
Entity Data - Contact - Work - Mobile Number
Studio Address
Entity Data - Address - Postal - Lookup
Address - Postal - Unit/Flat Number
Entity Data - Address - Postal - Unit/Flat Number
Address - Postal - Street/Lot number
Entity Data - Address - Postal - Street/Lot number
Address - Postal - Street Name
Entity Data - Address - Postal - Street Name
Address - Postal - Suburb
Entity Data - Address - Postal - Suburb
Address - Postal - Post Code
Entity Data - Address - Postal - Post Code
Address - Postal - State
Entity Data - Address - Postal - State
Address - Postal - Country
Entity Data - Address - Postal - Country
Studio's State / Territory Location
Reference Data - State
Full Names and Qualifications for all eligible Supervising Instructors E.g. Jane Smith - Diploma of Professional Pilates (Pilates ITC)
Basic - Textarea
Studio Services - E.g. Group Matwork, Group Reformer, Pregnancy and Post Natal Group Classes, Studio Semi-Private / Private/Duet...
Basic - Textarea
Studio Apparatus - E.g. Small Apparatus (assorted, Reformer (Balanced Body), Cadillac (Balanced Body), Barrels, Wunda Chair (Exo Chair) etc.
Basic - Textarea
Pilates ITC Student Name/s (If applicable)
Basic - Text
Declaration of Supervision - Sign here to declare that Pilates ITC Students are approved to complete their Work Placement hours at the Studio listed here and under the supervision of qualified Instructors listed in this form. I understand that Students are to be supervised at all times while in the Studio and agree to complete the necessary documentation to report on the Student progress as require by Pilates ITC Administration.
Basic - Digital Signature
Date
Basic - Date
Supporting Documentation - In order to comply with RTO regulations, it is necessary for us to ensure that our students carry out their work placement in a safe working environment. Should your application be given Conditional Approval we will request a Digital copy of the Studio Public Liability and Indemnity Insurance and the Evacuation & Emergency Procedure on an annual basis for our records. These records remain confidential and are maintained in a secure platform in line with the Privacy Act 1988.

Are you able to provide these? (if you answer yes - please upload with your application below - If you answer no, due to compliance reasons, your application may not be approved)
Basic - Dropdown
Studio Public Liability and Indemnity Insurance Certificate - (Please upload below as attachment with your application)
Basic - File
Studio Evacuation & Emergency Procedure (Please upload below as attachment with your application)
Basic - File
Opt Out Option - All of our Work Placement Studio Affiliate's contact details are listed on our website Work Placement Directory for our Students to access. Should you wish to opt out of this, please indicate below.
Basic - Checkboxes