BabyGym Instructor Training - Application Form

Kindly attach your ID document *

Click or drag a file to this area to upload.

Kindly attach a recent full length photo. *

Click or drag a file to this area to upload.

Kindly attach your BabyGym 2 or 'Friends of BabyGym' Certificate. *

Click or drag a file to this area to upload.

PERSONAL DETAILS

Name *

First

Last

Date of Birth *

Year/month/day

Mobile number *

Email *

Marital status *

Single
Married
Divorced
Widowed

Number of children and their ages *

Does your family support your application? *

Current Street Address *

Time at address? *

Do you foresee that you will move during the next 24 months? *

If yes, where to?

Geographical area you would like to operate in *

MEDICAL DETAILS

Do you have any medical condition? *

Yes
No

Are you currently using any medication? *

Yes
No

Do you have any disability (including sight or hearing loss)? *

Yes
No

Kindly elaborate if you answered yes to any of the above questions.

EDUCATION & EMPLOYMENT HISTORY

Languages you are fluent in *

Highest qualification *

Year completed *

Are you computer, including email and internet, literate? *

Yes
No

Employment details #1 *

Kindly include: 1) Employer, 2) Position, 3) Years Service

Employment details #2

Kindly include: 1) Employer, 2) Position, 3) Years Service

Employment details #3

Kindly include: 1) Employer, 2) Position, 3) Years Service

Kindly disclose all other training that you have attended to date (long and short courses). *

Kindly disclose all other products and services that you currently offer? *

Do you plan to continue the above mentioned business / services while offering BabyGym? *

BABYGYM ENDEAVOR

In your opinion, what are your strengths supporting you in BabyGym and Early Childhood Development (ECD)? *

Kindly describe the venue you will operate from. *

Kindly note a permanent and fast internet connection is a requirement for client registration etc.

Kindly define your client base. Please be specific. *

Kindly describe your advertising strategy for your BabyGym services. *

Do you plan to present BabyGym full time or part time? *

Full time
Part time

Please indicate how you would like to present BabyGym classes *

In person
Online
In person and online

What are the challenges you may face while attending training, qualifying and starting up your business? *

REFERENCES

Reference #1 *

Kindly include: 1) Name, 2) Mobile number, 3) Relation

Reference #2 *

Kindly include: 1) Name, 2) Mobile number, 3) Relation

Reference #3 *

Kindly include: 1) Name, 2) Mobile number, 3) Relation

I confirm that I do not have a criminal record, and that all information provided above is accurate and true. *

Agree
Disagree