Atlanta Personal Trainer Program Online Application
Which class start do you prefer?*
Legal Full Name:*
Maiden Name:
Address:*
City* / State* / Zip:* -
Home Phone:*
Alternate Phone:
E-mail Address:*
Date of Birth:*

Current Occupation:*
Employer's Name:
Employer's Phone:

Have you ever been convicted of a crime?* Yes No

Note: Not disclosing a criminal record may prevent you from becoming licensed.

If yes, please describe:

What is your highest level of education?*
Do you intend to ask for
transfer credit consideration?

Note: Does not apply for the Massage Program.

Yes    No

Essay Questions:  
Do you have previous experience in massage, skincare or personal training? Yes    No
If yes, please describe:
What are your personal goals regarding massage therapy, skincare or personal training?
An intensive program in this field can bring many personal issues to the surface. Since the school does not provide counseling or psychotherapy, it is important that you begin to consider developing or maintaining a support system. In what ways do you currently find support for yourself and/or explore issues or personal growth?

Discount Coupon Code:

Important Notes:
*Misrepresentation of information may result in denial of admission or expulsion.
*Applications remain active for 1 year after submission.
*Application fee refundable if requested within 3 days of payment.